Debt (Tables)

3 Months Ended

Mar. 31, 2022

Debt Instrument [Line Items]

Debt Outstanding Excluding Lease Obligations

Debt outstanding, excluding lease obligations, consists of the following:

	March 31, 2022						December 31, 2021
(In thousands)	Principal Balance		Unamortized Discount and Debt Issuance Costs		Net Carrying Amount		Principal Balance		Unamortized Discount and Debt Issuance Costs			Net Carrying Amount
0.875% Convertible Senior Notes (1)	$	207,911	$	4,331	$	203,580	$	167,853	$	(9,057	)	$	176,910
Senior Secured Credit Facility		175,000		1,521		173,479		175,000		1,848			173,152
Total debt	$	382,911	$	5,852	$	377,059	$	342,853	$	(7,209	)	$	350,062

(1) As of March 31, 2022, the principal balance is recognized in debt. As of December 31, 2021, the principal balance is $207,911 thousand; $167,853 thousand is recognized in debt and $40,058 thousand is recognized in additional paid-in capital.

Interest Expense

Interest expense consists of the following:

	Three Months Ended March 31,
(In thousands)	2022		2021
Interest expense	$	1,506	$	1,288
Amortization of discounts and debt issuance costs		630		1,855
Total interest expense	$	2,136	$	3,143

Summary of Future Debt Payment Obligations

Future Debt Payments

The following table summarizes future debt principal payment obligations as of March 31, 2022:

(In thousands)	Total		Remainder of 2022		2023		2024		2025		2026		Thereafter
0.875% Convertible Senior Notes (1)	$	207,911	$	0	$	0	$	0	$	0	$	0	$	207,911
Revolving Facility (2)		175,000		0		175,000		0		0		0		0
Total debt	$	382,911	$	0	$	175,000	$	0	$	0	$	0	$	207,911

(1) Amount represents the face value of the 0.875% Convertible Senior Notes.

(2) Assumes no additional borrowings after March 31, 2022, payment of any required periodic installments of principal when due and that all drawn amounts are repaid upon maturity. On May 2, 2022, this amount was repaid with proceeds from the sale of the Hospitals and Large Physician Practices Business.

0.875% Convertible Senior Notes and the 1.25% Cash Convertible Senior Notes [Member]

Debt Instrument [Line Items]

Interest Expense Related to 0.875% Convertible Senior Notes and 1.25% Cash Convertible Senior Notes

Interest expense related to the 0.875% Convertible Senior Notes included in the table above consists of the following:

	Three Months Ended March 31,
(In thousands)	2022		2021
Coupon interest	$	455	$	455
Amortization of discounts and debt issuance costs		228		1,459
Total interest expense related to the convertible notes	$	683	$	1,914