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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Operating activities:      
Net (loss) income $ (782,028) $ (298) $ 9,749
Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:      
Goodwill and intangible asset impairment charges 962,303 0 0
Depreciation and amortization 37,995 39,700 39,104
Provision for doubtful accounts 16,369 16,231 22,191
Deferred income tax provision (71,088) 1,814 (44,033)
Amortization of right-of-use assets 45,536 44,526 0
Share-based compensation 5,754 1,936 1,822
Amortization of debt issuance costs and original issue discount 3,252 4,109 3,197
Non-cash interest expense 0 6,335 0
Non-cash interest expense on redeemable preferred stock 10,087 19,031 15,511
Loss on extinguishment of debt 5,534 0 0
Loss on settlement of redeemable preferred stock 14,037 0 0
(Gain) loss on disposal and impairment of assets (5,189) 469 1,870
Loss on lease terminations and impairment 0 3,863 0
Change in fair value of warrant liability (22,595) 0 0
Change in fair value of contingent common shares liability (175,140) 0 0
Changes in:      
Accounts receivable, net (10,201) (3,307) (11,929)
Prepaid expenses and other current assets (6,688) 4,841 283
Other non-current assets (284) 413 36
Accounts payable 1,831 798 (1,908)
Accrued expenses and other liabilities (5,288) 9,174 9,543
Operating lease liabilities (50,942) (42,819) 0
Other non-current liabilities 861 5,056 2,508
Medicare Accelerated and Advance Payment Program Funds (12,605) 26,732 0
Transaction-related amount due to former owners (3,611) 0 0
Net cash (used in) provided by operating activities (42,100) 138,604 47,944
Investing activities:      
Purchases of property and equipment (40,293) (21,887) (41,227)
Purchases of intangible assets (1,675) (250) 0
Proceeds from sale of property and equipment 223 328 397
Business acquisitions, net of cash acquired (4,523) 0 (1,848)
Net cash used in investing activities (39,889) (21,809) (42,678)
Financing activities:      
Deferred financing costs 0 (350) 0
Principal payments on long-term debt (456,202) (8,167) (8,167)
Proceeds from revolving line of credit 0 68,750 0
Payments on revolving line of credit 0 (68,750) 0
Cash inflow from Business Combination 229,338 0 0
Payments to Series A Preferred stockholders (59,000) 0 0
Proceeds from shares issued through PIPE investment 300,000 0 0
Payments for equity issuance costs (19,233) 0 0
Taxes paid on behalf of employees for shares withheld (128) 0 0
Distribution to non-controlling interest holder (6,298) (4,453) (4,862)
Net cash used in financing activities (11,523) (12,970) (13,029)
Changes in cash and cash equivalents:      
Net (decrease) increase in cash and cash equivalents (93,512) 103,825 (7,763)
Cash and cash equivalents at beginning of period 142,128 38,303 46,066
Cash and cash equivalents at end of period 48,616 142,128 38,303
Supplemental noncash disclosures:      
Derivative changes in fair value (1,935) 582 16
Purchases of property and equipment in accounts payable 4,177 3,010 2,106
Warrant liability recognized upon the closing of the Business Combination (26,936) 0 0
Contingent common shares liability recognized upon the closing of the Business Combination (220,500) 0 0
Shares issued to Wilco Holdco Series A Preferred stockholders 128,453 0 0
Other supplemental disclosures:      
Cash paid for interest 41,937 58,421 76,636
Cash paid for (received from) taxes 81 (1,098) (1,092)
Home Health service line      
Investing activities:      
Proceeds from sale of business 6,131 0 0
Clinics      
Investing activities:      
Proceeds from sale of business $ 248 $ 0 $ 0