XML 24 R7.htm IDEA: XBRL DOCUMENT v3.22.1
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 loss $ (116,737) $ (71,064) $ (19,780)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization expense 49,441 18,499 6,822
Change in fair value of contingent consideration (11,680) 65 2,845
Change in fair value of embedded derivative 0 12,764 0
Change in fair value of warrant liabilities (82,914) 0 0
Loss on extinguishment of debt 13,115 23,277 0
Amortization of debt issuance costs 4,887 6,716 539
Non-cash lease expense 664 0 0
Write off of other receivables 0 531 0
Stock-based compensation 27,983 528 182
Paid in kind interest expense 0 7,287 0
Changes in operating assets and liabilities:      
Accounts receivable, net (Related parties comprised $0, $343 and $(71) for the years ended December 31, 2021, 2020 and 2019, respectively) (15,135) (30,309) (17,640)
Inventory (185) (275) (373)
Other assets (16,409) (2,760) (1,119)
Prepaid expenses and other current assets (11,779) (5,152) (2,086)
Accounts payable and accrued expenses (Related parties comprised $0 $60 and $0 for the years ended December 31, 2021, 2020, and 2019, respectively) 33,723 27,325 10,330
Interest accrued due to sellers 1,464 1,698 1,234
Payment of paid in kind interest on extinguishment of debt 0 (7,287) 0
Deferred rent (Related parties comprised $0, $0 and $0 for the years ended December 31, 2021, 2020, and 2019, respectively) 0 1,147 956
Deferred revenue (Related parties comprised $0, $5,265 and $0 for the years ended December 31, 2021, 2020, and 2019, respectively) 693 5,265 0
Other liabilities (Related parties comprised $(92) $8,234 and $0 for the years ended December 31, 2021, 2020, and 2019, respectively) (5,658) 2,510 2,625
Net cash used in operating activities (128,527) (9,235) (15,465)
Cash Flows from Investing Activities:      
Purchase of property and equipment (Related parties comprised $(8,059), $(7,202) and $(5,343) for the years ended December 31, 2021, 2020, and 2019, respectively) (34,354) (12,072) (9,310)
Acquisitions of subsidiaries including non-compete intangibles, net of cash acquired (1,070,307) (207,625) (83,355)
Payments (to) from sellers (26,587) (53,201) 1,944
Other (Related parties comprised $0, $4,496 and $(4) for the years ended December 31, 2021, 2020, and 2019, respectively) 0 4,532 (63)
Net cash used in investing activities (1,131,248) (268,366) (90,784)
Cash Flows from Financing Activities:      
Contributions from member 0 103,016 60,655
Distributions to member 0 (106,143) (1,165)
Business combination and PIPE financing 935,362 0 0
Payments of long-term debt (657,917) (318,754) (2,017)
Debt issuance costs (17,394) (31,111) (762)
Proceeds from long-term debt 1,120,000 664,096 76,200
Prepayment fees on extinguishment of debt 0 (27,969) 0
Proceeds from revolving credit facility 0 9,700 18,050
Repayments of revolving credit facility 0 (9,700) (18,050)
Proceeds from insurance financing arrangements 1,701 2,865 866
Payments of principal on insurance financing arrangements (1,701) (2,865) (866)
Repayments of equipment loans (314) (235) (226)
Repayments of capital lease obligations (1,227) (684) (547)
Employee stock purchase plan contributions 10,494 0 0
Other 134 0 (100)
Net cash provided by financing activities 1,389,138 282,216 132,038
Net increase (decrease) in cash, cash equivalents and restricted cash 129,363 4,615 25,789
Cash, cash equivalents and restricted cash at beginning of year 33,807 29,192 3,403
Cash, cash equivalents and restricted cash at end of period 163,170 33,807 29,192
Supplemental cash flow information:      
Interest paid 41,844 22,615 8,690
Income taxes paid 1,150 0 0
Non-cash investing and financing activities:      
Right-of-use assets obtained in exchange of lease liabilities 152,608 0 0
Issuance of securities by Cano Health, Inc. in connection with acquisitions 64,469 0 0
Issuance of securities in PCIH in connection with acquisitions 0 34,300 9,250
Contingent consideration in connection with acquisitions 47,900 2,695 0
Due to sellers in connection with acquisitions 1,295 13,593 39,751
Addition to construction in process funded through accounts payable 2,200 0 0
Humana Affiliate Provider clinic leasehold improvements 11,866 8,142 0
Capital lease obligations entered into for property and equipment 0 1,331 1,344
Equipment loan obligations entered into for property and equipment 967 103 1,109
Issuance of security in exchange for balance due to sellers $ 0 $ 2,158 $ 25