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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
CASH FLOWS FROM OPERATING ACTIVITIES    
Net (loss) income $ (62,328) $ (8,682)
Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities:    
Depreciation and amortization 15,684 12,228
Stock and unit-based compensation 59,855 605
Amortization of debt issue costs 295 403
Loss (gain) on remeasurement of contingent consideration 434 307
Change in operating assets and liabilities, net of businesses acquired:    
Patient accounts receivable, net (18,121) (3,116)
Prepaid expenses and other current assets (12,065) (8,042)
Accounts payable 1,852 3,014
Accrued payroll expenses 12,759 7,314
Other accrued expenses 4,943 5,878
Net cash provided by operating activities 3,308 9,909
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchases of property and equipment (27,910) (11,081)
Acquisitions of businesses, net of cash acquired (22,945) (754)
Net cash used in investing activities (50,855) (11,835)
CASH FLOWS FROM FINANCING ACTIVITIES    
Payments of deferred offering costs 0 (323)
Proceeds from long-term debt 20,000 26,200
Payments of debt issue costs 0 (955)
Payments of long-term debt (331) (785)
Payments of contingent consideration (5,720) (1,546)
Taxes related to net share settlement of equity awards 441 0
Net cash provided by financing activities 13,508 22,591
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS (34,039) 20,665
Cash and Cash Equivalents - Beginning of period 148,029 18,829
CASH AND CASH EQUIVALENTS – END OF PERIOD 113,990 39,494
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION    
Cash paid for interest 3,091 6,806
Cash paid for taxes, net of refunds (60) 3
SUPPLEMENTAL DISCLOSURES OF NON CASH INVESTING AND FINANCING ACTIVITIES    
Unpaid deferred offering costs included in accounts payable and other accrued expenses 0 1,871
Equipment financed through capital leases 57 14
Contingent consideration incurred in acquisitions of businesses 2,470 808
Acquisition of property and equipment included in liabilities $ 12,320 $ 7,498