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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Cash flows from operating activities      
Net income (loss) $ (190,649) $ 30,904 $ 7,945
Adjustments to reconcile net (loss) income to net cash used in operating activities:      
Depreciation 1,152 1,188 784
Amortization of intangibles 1,312 642 643
Amortization of debt issuance costs 157 134 332
Stock-based compensation 253,531 484 207
Deferred tax benefit (28,411) (7,834) 716
Changes in asset and liabilities:      
Accounts receivable (14,642) (21,779) (6,178)
Prepaid expenses and other current assets (1,269) (962) (151)
Other non-current assets and right-of-use asset (9,680) 1,194 (2,426)
Accounts payable and accrued expenses 1,262 9,706 2,079
Physician and practice liability 33,897 24,542 15,571
Operating lease liabilities 13,936 0 0
Other long-term liabilities (5,538) 672 4,836
Net cash provided by operating activities 55,058 38,891 24,358
Cash from investing activities      
Purchases of property and equipment (547) (380) (5,709)
Business acquisitions, net of cash acquired (32,228) 0 0
Net cash used in investing activities (32,775) (380) (5,709)
Cash flows from financing activities      
Proceeds from initial public offering 223,685 0 0
Payments of underwriting fees, net of discounts and offering costs (12,691) 0 0
Note payable to affiliate 0 0 (15,250)
Repayment of note payable (875) (875) (30,000)
Proceeds from note payable 0 0 35,000
Proceeds from exercised stock options 3,829 108 0
Debt issuance costs (287) 0 (618)
Proceeds from line of credit 0 10,000 0
Line of credit payments 0 (10,000) 0
Net cash provided by (used in) financing activities 213,661 (767) (10,868)
Net increase in cash and cash equivalents 235,944 37,744 7,781
Cash and cash equivalents at beginning of period 84,633 46,889 39,108
Cash and cash equivalents at end of period 320,577 84,633 46,889
Supplemental disclosure of cash flow information:      
Interest paid 888 1,928 9,200
Income taxes paid 504 381 316
Conversion of notes payable to related parties to capital contribution $ 0 $ 4,700 $ 13,264