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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
9 Months Ended
Oct. 01, 2022
Oct. 02, 2021
Cash Flows From Operating Activities:    
Net (loss) income $ (424,255) $ 9,148
Adjustments to reconcile net (loss) income to net cash from operating activities:    
Depreciation and amortization 16,774 15,163
Amortization of deferred debt issuance costs 5,221 7,234
Amortization and impairment of operating lease right of use assets 12,722 11,081
Non-cash share-based compensation 14,108 10,142
Goodwill impairment 470,207  
Loss on disposal of licenses, property and equipment 1,985 109
Fair value adjustments on interest rate derivatives (89,634) (6,246)
Gain on sale of businesses (170)  
Loss on debt extinguishment   13,702
Deferred income taxes (293) 839
Changes in operating assets and liabilities, net of impact of acquisitions:    
Patient accounts receivable (921) (3,376)
Prepaid expenses 6,825 2,715
Other current and long-term assets (1,878) 39
Accounts payable and other accrued liabilities (2,395) (15,851)
Accrued payroll and employee benefits (4,569) (3,164)
Insurance reserves 5,884 2,752
Operating lease liabilities (15,845) (11,783)
Other current and long-term liabilities (1,932) (10,316)
Net cash (used in) provided by operating activities (8,166) 22,188
Cash Flows From Investing Activities:    
Acquisitions of businesses, net of cash acquired (2,027) (103,202)
Proceeds from sale of businesses 460  
Payment for interest rate cap (11,725)  
Purchases of property and equipment (8,800) (10,306)
Net cash used in investing activities (22,092) (113,508)
Cash Flows From Financing Activities:    
Proceeds from issuance of common stock   477,688
Proceeds from employee stock purchase plan 2,278  
Proceeds from securitization obligation 40,000  
Repayment of securitization obligation (20,000)  
Proceeds from revolving credit facility 15,000  
Repayments on revolving credit facility (15,000)  
Proceeds from issuance of term loans, net of debt issuance costs 59,700 925,261
Principal payments on term loans (6,600) (1,271,733)
Principal payments on notes payable (7,564) (4,910)
Repayment of government stimulus funds   (29,444)
Principal payments of financing lease obligations (581) (503)
Payment of offering costs   (5,473)
Payment of debt issuance costs (218) (13,107)
Settlements with derivative counterparties (3,566) (2,096)
Net cash provided by financing activities 63,449 75,683
Net increase (decrease) in cash and cash equivalents 33,191 (15,637)
Cash and cash equivalents at beginning of period 30,490 137,345
Cash and cash equivalents at end of period 63,681 121,708
Supplemental Disclosures of Cash Flow Information:    
Cash paid for interest 69,572 47,156
Acquisition of property and equipment on accrual 502 3,246
Offering costs included in accounts payable and other accrued liabilities   135
Cash paid for income taxes, net of refunds received $ 1,410 $ 3,915