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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Cash Flows (used in) from Operating Activities:    
Net loss $ (331,330) $ (14,649)
Adjustments to reconcile net loss to net cash (used in) from operating activities:    
Depreciation and amortization expense 54,473 38,872
Change in fair value of contingent consideration (15,900) (10,425)
Change in fair value of warrant liabilities (331) (57,337)
Loss on extinguishment of debt 0 1,428
Fixed asset abandonment 1,709 0
Amortization of debt issuance costs 2,560 1,570
Non-cash lease expense 1,642 3,642
Stock-based compensation, net 11,368 31,600
Paid in kind interest expense 7,380 0
Credit loss on other assets 62,000 0
Changes in operating assets and liabilities:    
Accounts receivable, net 126,652 (67,557)
Other assets (649) 7,158
Prepaid expenses and other current assets 654 (17,834)
Interest accrued due to sellers 0 100
Accounts payable and accrued expenses (Related parties comprised $(295) and $1,331 for the six months ended June 30, 2023 and 2022, respectively) 28,289 (9,362)
Other liabilities 6,528 10,621
Net cash (used in) provided by operating activities (44,955) (82,173)
Cash Flows (used in) from Investing Activities:    
Purchase of property and equipment (Related parties comprised $766 and $3,567 for the six months ended June 30, 2023 and 2022, respectively) (11,270) (20,431)
Acquisitions of subsidiaries including non-compete intangibles, net of cash acquired 0 (4,995)
Payments to sellers (6,431) (3,847)
Net cash (used in) provided by investing activities (17,701) (29,273)
Cash Flows (used in) from Financing Activities:    
Payments of long-term debt (3,223) (3,222)
Debt issuance costs (9,256) (88)
Proceeds from long-term debt 150,000 0
Proceeds from CS Revolving Line of Credit 55,000 0
Repayments of CS Revolving Line of Credit (129,000) 0
Proceeds from insurance financing arrangements 2,690 2,529
Payments of principal on insurance financing arrangements (1,467) (1,380)
Other (1,696) (1,716)
Net cash (used in) provided by financing activities 63,048 (3,877)
Net increase (decrease) in cash, cash equivalents and restricted cash 392 (115,323)
Cash, cash equivalents and restricted cash at beginning of year 27,329 163,170
Cash, cash equivalents and restricted cash at end of period 27,721 47,847
Supplemental cash flow information:    
Interest paid 40,476 27,670
Income taxes paid 0 82
Non-cash investing and financing activities:    
Right-of-use assets obtained in exchange of lease liabilities 16,558 50,297
Issuance of Class A common stock for acquisitions 14,402 15,771
Due to sellers in connection with acquisitions 0 3,533
Addition to construction in process funded through accounts payable 906 3,580
Humana Affiliate Provider clinic leasehold improvements 363 2,928
Employee Stock Purchase Plan issuance 1,143 9,707
Warrants issued $ 45,698 $ 0