CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2017	Mar. 31, 2016
Cash flows from operating activities:
Net income from continuing operations	$ 15,481	$ 19,208
Net loss from discontinued operations	(220)	(33,105)
Adjustments to reconcile net income (loss) to net cash provided by operating activities, net of business acquisitions:
Depreciation and amortization	793	12,746
Amortization of deferred loan costs	516	554
Amortization of debt discount	1,931	1,826
Share-based employee compensation expense	1,446	2,427
Loss on sale of TPHS business	310	0
Equity in income from joint ventures	0	(132)
Deferred income taxes	8,972	(191)
(Increase) decrease in accounts receivable, net	(16,459)	7,471
(Increase) decrease in other current assets	(441)	1,955
Increase (decrease) in accounts payable	1,337	(1,175)
Decrease in accrued salaries and benefits	(12,099)	(227)
Increase (decrease) in other current liabilities	2,642	(2,013)
Other	(1,185)	(1,734)
Net cash flows provided by operating activities	3,024	7,610
Cash flows from investing activities:
Acquisition of property and equipment	(1,234)	(6,450)
Investment in joint ventures	0	(453)
Other	0	(275)
Net cash flows used in investing activities	(1,234)	(7,178)
Cash flows from financing activities:
Proceeds from issuance of long-term debt	109,975	131,500
Payments of long-term debt	(115,465)	(136,084)
Payments related to tax withholding for share-based compensation	(885)	(213)
Exercise of stock options	2,250	0
Change in cash overdraft and other	1,155	4,600
Net cash flows used in financing activities	(2,970)	(197)
Effect of exchange rate changes on cash	242	989
Less: net increase in discontinued operations cash and cash equivalents	0	588
Net (decrease) increase in cash and cash equivalents	(938)	636
Cash and cash equivalents, beginning of period	1,602	233
Cash and cash equivalents, end of period	$ 664	$ 869