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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
CASH FLOWS FROM OPERATING ACTIVITIES    
Net loss $ (34,242) $ (62,328)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 19,069 15,684
Non-cash operating lease costs 10,113 0
Stock-based compensation 23,866 59,855
Amortization of discount and debt issue costs 549 295
(Gain) loss on remeasurement of contingent consideration (1,037) 434
Loss on disposal of assets 45 0
Change in operating assets and liabilities, net of businesses acquired:    
Patient accounts receivable, net (17,138) (18,121)
Prepaid expenses and other current assets (4,543) (12,065)
Accounts payable (5,466) 1,852
Accrued payroll expenses 7,663 12,759
Operating lease liabilities (8,736) 0
Other accrued expenses 1,967 4,943
Net cash (used in) provided by operating activities (7,890) 3,308
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchases of property and equipment (7,729) (27,910)
Acquisitions of businesses, net of cash acquired (19,820) (22,945)
Net cash used in investing activities (27,549) (50,855)
CASH FLOWS FROM FINANCING ACTIVITIES    
Proceeds from long-term debt 0 20,000
Payments of long-term debt (586) (331)
Payments of contingent consideration (4,302) (5,720)
Taxes related to net share settlement of equity awards 0 (441)
Net cash (used in) provided by financing activities (4,888) 13,508
NET DECREASE IN CASH AND CASH EQUIVALENTS (40,327) (34,039)
Cash and Cash Equivalents - Beginning of period 108,621 148,029
CASH AND CASH EQUIVALENTS – END OF PERIOD 68,294 113,990
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION    
Cash paid for interest 5,059 3,091
Cash paid for taxes, net of refunds (13) (60)
SUPPLEMENTAL DISCLOSURES OF NON CASH INVESTING AND FINANCING ACTIVITIES    
Equipment financed through finance leases 0 57
Contingent consideration incurred in acquisitions of businesses 1,985 2,470
Acquisition of property and equipment included in liabilities $ 8,297 $ 12,320