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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Apr. 01, 2023
Apr. 02, 2022
Cash Flows From Operating Activities:    
Net (loss) income $ (31,998) $ 25,334
Adjustments to reconcile net (loss) income to net cash from operating activities:    
Depreciation and amortization 4,041 5,819
Amortization of deferred debt issuance costs 1,421 1,740
Amortization and impairment of operating lease right of use assets 4,236 4,193
Non-cash share-based compensation 2,442 4,815
Loss (gain) on disposal or impairment of licenses, property and equipment, and software 68 (282)
Fair value adjustments on interest rate derivatives 18,537 (38,256)
Deferred income taxes 594 1,414
Changes in operating assets and liabilities, net of impact of acquisitions:    
Patient accounts receivable (20,595) (22,552)
Prepaid expenses (1,500) (1,253)
Other current and long-term assets (4,441) 3,554
Accounts payable and other accrued liabilities (1,763) 5,199
Accrued payroll and employee benefits 18,316 (1,546)
Insurance reserves 1,960 3,836
Operating lease liabilities (1,005) (4,370)
Other current and long-term liabilities 17,182 2,879
Net cash provided by (used in) operating activities 7,495 (9,476)
Cash Flows From Investing Activities:    
Acquisitions of businesses, net of cash acquired   (1,394)
Proceeds from sale of businesses   460
Payment for interest rate cap   (11,725)
Purchase of certificates of need 2,678  
Purchases of property and equipment, and software (2,122) (3,984)
Net cash used in investing activities (4,800) (16,643)
Cash Flows From Financing Activities:    
Proceeds from securitization obligation 35,000 30,000
Repayment of securitization obligation (20,000) (10,000)
Proceeds from revolving credit facility 20,000  
Repayments on revolving credit facility (20,000)  
Principal payments on term loans (2,300) (2,150)
Principal payments on notes payable (3,192) (2,551)
Principal payments on financing lease obligations (206) (181)
Settlements with interest rate swap counterparties 3,219 (2,050)
Net cash provided by financing activities 12,521 13,068
Net change in cash and cash equivalents 15,216 (13,051)
Cash and cash equivalents at beginning of period 19,217 30,490
Cash and cash equivalents at end of period 34,433 17,439
Supplemental Disclosures of Cash Flow Information:    
Cash paid for interest 24,196 16,136
Cash paid for income taxes, net of refunds received $ (386) $ (161)