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Unaudited Condensed Consolidated Statements of Cash Flows - USD ($)
2 Months Ended 5 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2020
Dec. 31, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Dec. 31, 2019
Cash Flows from Operating Activities:            
Net loss $ (2,065) $ (4,223,533) $ (508,212)      
Changes in operating assets and liabilities:            
Interest earned on investments held in Trust Account (20,078) (22,604)      
Offering costs allocable to warrant liabilities   191,112        
Change in fair value of warrant liabilities   3,883,670 (445,670)      
Prepaid expenses   (168,527) (56,390)      
Other current assets   (350) (2,990)      
Accounts payable   11,658 149,410      
Franchise taxes payable   78,192 24,923      
Net cash used in operating activities (2,065) (247,856) (861,533)      
Deposit of cash into Trust Account   (115,000,000)        
Net cash provided by investing activities   (115,000,000) 42,199      
Proceeds from sale of Units, net of underwriting discounts paid   112,700,000        
Proceeds from sale of Private Warrants   3,800,000        
Proceeds from note payable to related party 71,163 71,473        
Repayment of related party note payable   (71,473)        
Payment of offering costs   (373,491)        
Net cash provided by financing activities 3,597 116,126,509        
Cash flow from financing activities:            
Net increase (decrease) in cash and restricted cash 1,532 878,653 (819,334)      
Deferred offering costs paid by related party in exchange for issuance of Class B common stock 25,000          
Offering costs paid by related party in exchange for issuance of Class B common stock   25,000        
Deferred offering costs included in accounts payable 20,450          
Offering costs included in other accrued liabilities   70,000        
Change in value of Class A common shares subject to possible redemption   4,025,000        
Reconciliation of cash and restricted cash            
Cash – beginning of the period 878,653      
Cash – end of the period 1,532 878,653 59,319 $ 1,532 $ 878,653  
Supplemental disclosure of noncash investing and financing activities:            
Interest released from Trust Account     42,199      
Payment of deferred offering costs (67,566)          
Ambulnz, Inc.            
Cash Flows from Operating Activities:            
Net loss     (1,095,427) (10,406,595) (14,799,212) $ (21,238,042)
Adjustments to reconcile net loss to net cash used in operating activities:            
Depreciation of property and equipment     1,697,380 1,341,210 1,874,069 1,550,259
Amortization of intangible assets     1,432,983 1,087,456 1,451,214 640,086
Amortization of finance lease right-of-use assets         2,182,372 1,991,926
Gain (loss) on disposal of assets     27,730 (8,854) (30,546) 1,895
Bad debt expense     2,152,470 1,585,854 1,885,457 2,467,212
Stock based compensation     1,224,580 515,305 687,072 457,467
Shares issued for services           267,000
Write-off due to seller         (300,000)
Gain on business acquisition           (119,491)
Changes in operating assets and liabilities:            
Accounts receivable     (28,794,602) (9,300,321) (16,153,948) (2,275,451)
Prepaid expenses and other current assets     (4,531,411) (175,378) 94,091 (32,918)
Other assets     (1,786,407) (133,687) (218,099) (3,555)
Accrued liabilities     24,861,804 4,529,501 9,666,651 2,188,374
Accounts payable     9,422,628 1,383,642 3,006,187 (100,665)
Net cash used in operating activities     6,853,001 (7,945,089) (10,654,692) (14,205,903)
Acquisition of property and equipment     (2,824,916) (2,905,072) (4,361,501) (1,450,795)
Net cash provided by investing activities     (4,390,875) (4,595,468) (6,040,022) (2,971,284)
Proceeds from disposal of property and equipment     6,000 69,113 276,224 1,167,094
Acquisition of intangibles     (1,571,959) (1,759,509) (1,954,745) (2,352,108)
Acquisition of businesses           (335,475)
Repayments of line of credit           (1,000,000)
Repayments of notes payable     (374,456) (93,979) (798,371) (449,323)
Proceeds from sale of Private Warrants     158,100,000      
Due to seller         (34,002)
Noncontrolling interest contributions         1,500,002 10,500,000
Proceeds from issuance of preferred stock, net of transaction costs           49,035,701
Net cash provided by financing activities     6,071,250 (231,867) (812,093) 56,337,881
Payments on obligations under finance lease         (1,479,722) (1,748,497)
Effect of exchange rate changes on cash and cash equivalents     171,846 196,345 196,345 (246,279)
Cash flow from financing activities:            
Net increase (decrease) in cash and restricted cash     8,705,222 (12,576,079) (17,310,462) 38,914,415
Cash and restricted cash at beginning of period     34,457,273 51,767,735 51,767,735 12,853,320
Cash and restricted cash at end of period $ 39,191,656 $ 34,457,273 43,162,495 39,191,656 34,457,273 51,767,735
Cash paid for interest     39,637 35,858 608,262 545,872
Acquisition of businesses funded by acquisition payable (see Note 4)         837,168 510,173
Cash paid for interest on finance lease liabilities     381,937 440,852 440,852 523,910
Cash paid for income taxes     613,531 3,518 117,443 47,032
Right-of-use assets obtained in exchange for lease liabilities     3,569,276 131,934 1,600,289 3,550,377
Fixed assets acquired in exchange for notes payable     271,194 318,295    
Acquisition of remaining 20% of Ambulnz UK LTD     228,518      
Gain from PPP loan forgiveness     142,667      
Reconciliation of cash and restricted cash            
Cash     39,550,926 36,640,734 32,418,220 47,739,610
Restricted Cash     3,611,569 2,550,922 2,039,053 4,028,125
Total cash and restricted cash shown in statement of cash flows     43,162,495 39,191,656 $ 34,457,273 $ 51,767,735
Amortization of right of use assets     2,383,940 1,636,778    
Gain from PPP loan forgiveness     (142,667)      
Noncontrolling interest contributions     333,025 1,530,393    
Proceeds from line of credit     8,000,000    
Acquisition of businesses     (56,496) (79,012)    
Payments on obligations under finance lease     $ (1,830,823) $ (1,589,269)