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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Cash flows from operating activities      
Net (loss)/income $ (4,479) $ (14,679) $ 10,551
Adjustments to reconcile net (loss)/income to net cash provided by operating activities:      
Depreciation and amortization 10,253 8,061 6,597
Equity-based compensation 18,224 29,457 7,185
Non-cash interest expense; amortization of debt costs 207 921 639
Loss on debt modification 0 932 682
Deferred income taxes 1,342 1,134 208
(Gain)/loss on disposal of long-lived assets (212) 147 0
Changes in assets and liabilities      
Taxes receivable 890 (2,831) 0
Prepaid expense and other current assets 466 (5) (3,845)
Other assets (3,814) (7,274) (1,305)
Accounts payable (206) 865 1,576
Deferred revenue and patient deposits (896) (452) (423)
Accrued and other liabilities 2,181 8,171 4,768
Net cash provided by operating activities 23,956 24,447 26,633
Cash flows from investing activities      
Purchases of property and equipment, net (9,919) (12,921) (7,116)
Net cash used in investing activities (9,919) (12,921) (7,116)
Cash flows from financing activities      
Payment on term loan (12,125) (84,263) (838)
Borrowings on term loan, net 0 83,503 49,603
Proceeds from IPO 0 0 13,542
Distribution to member (79) (1,159) (66,856)
Dividends paid to shareholders (385) (23,160) 0
Payment of taxes withheld through vested equity-based compensation (233) (2,031) 0
Other financing activity (569) (147) 0
Net cash used in financing activities (13,391) (27,257) (4,549)
Net decrease in cash and cash equivalents 646 (15,731) 14,968
Cash and cash equivalents      
Beginning of period 9,616 25,347 10,379
End of period 10,262 9,616 25,347
Supplemental disclosure of cash flow information:      
Cash paid for interest 6,277 5,830 4,255
Cash paid for taxes 4,663 4,932 0
Supplemental disclosure of non-cash investing information:      
Property and equipment included in accounts payable and accrued expenses 283 1,113 255
Distributions to member included in accrued expenses $ 0 $ 0 $ 427