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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Operating activities    
Net income (loss) $ 12,506 $ (5)
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation, amortization and impairment 17,501 20,365
Amortization of discounts, fees and deferred financing costs 1,617 1,205
Stock-based compensation 4,240 2,251
Deferred taxes 1,574 (138)
Change in fair value of income tax receivable agreement (1,343) (1,378)
Other non-cash charges, net 208 (1,189)
Loss (gain) on disposal of assets 432 (395)
Change in operating assets and liabilities, net of acquisitions:    
Accounts receivable 10,471 (8,021)
Inventories (405) 4,020
Prepaid expenses and other current assets (6,369) (3,121)
Other assets (7,192) (1,275)
Right-of-use assets and operating lease liabilities (54) (1,518)
Accounts payable (3,415) (1,434)
Accrued compensation and benefits 541 240
Accrued expenses and other liabilities 120,650 (1,859)
Cash provided by operating activities 150,962 7,748
Investing activities    
Purchases of property, equipment and intangible assets (11,756) (14,169)
Proceeds from sale of clinics 0 3,300
Cash paid for acquisitions 0 (6,590)
Cash used in investing activities (11,756) (17,459)
Financing activities    
Proceeds from revolving credit facility and term loans, net of discounts and fees 45,989 73,551
Payments on long-term debt (50,081) (23,069)
Dividends and dividend equivalents paid (11) (25)
Proceeds from exercise of stock options 1,212 67
Repurchase of vested restricted stock awards withheld on net share settlement (430) (338)
Distributions to noncontrolling interests (22,961) (21,629)
Contributions from noncontrolling interests 2,023 3,935
Purchases of equity of noncontrolling interests (707) (7,995)
Cash (used in) provided by financing activities (24,966) 24,497
Increase in cash and restricted cash 114,240 14,786
Cash and restricted cash at beginning of period 34,494 55,300
Cash and restricted cash at end of period 148,734 70,086
Supplemental Disclosure of Cash Flow Information    
Cash paid for income taxes 166 173
Cash paid for interest 14,323 15,292
Supplemental Disclosure of Non-Cash Financing Activities    
Non-cash equity impacts of the sale or closure of clinics (4,071) (4,866)
Non-cash equity contributions 1,770 386
Change in liability accrued for dividend equivalent payments 7 27
Liability established for IPO Put liability (Note 5) 16,685 0
Non-cash purchases of property and equipment $ 1,079 $ 0