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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jul. 01, 2023
Jul. 02, 2022
Cash Flows From Operating Activities:    
Net loss $ (6,399) $ (448,553)
Adjustments to reconcile net loss to net cash from operating activities:    
Depreciation and amortization 7,532 11,857
Amortization of deferred debt issuance costs 2,719 3,526
Amortization and impairment of operating lease right of use assets 8,174 8,402
Non-cash share-based compensation 5,027 10,596
Goodwill impairment   470,207
Loss (gain) on disposal or impairment of licenses, property and equipment, and software 381 (293)
Fair value adjustments on interest rate derivatives 1,738 (44,789)
Deferred income taxes 592 (89)
Changes in operating assets and liabilities, net of impact of acquisitions:    
Patient accounts receivable (16,195) (27,701)
Prepaid expenses 1,354 (61)
Other current and long-term assets (10,720) 5,854
Accounts payable and other accrued liabilities (5,790) 1,232
Accrued payroll and employee benefits 16,347 (9,341)
Insurance reserves (3,016) 4,804
Operating lease liabilities (7,281) (11,348)
Other current and long-term liabilities 2,514 (3,660)
Net cash used in operating activities (3,023) (29,357)
Cash Flows From Investing Activities:    
Acquisitions of businesses, net of cash acquired   (1,206)
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 (3,421) (5,985)
Net cash used in investing activities (6,099) (18,456)
Cash Flows From Financing Activities:    
Proceeds from employee stock purchase plan 945 2,278
Proceeds from securitization obligation 45,000 40,000
Repayment of securitization obligation (25,000) (10,000)
Proceeds from revolving credit facility 20,000 15,000
Repayments on revolving credit facility (20,000)  
Principal payments on term loans (4,600) (4,300)
Principal payments on notes payable (5,125) (4,070)
Principal payments on financing lease obligations (378) (363)
Settlements with interest rate swap counterparties 7,075 (3,759)
Net cash provided by financing activities 17,917 34,786
Net change in cash and cash equivalents 8,795 (13,027)
Cash and cash equivalents at beginning of period 19,217 30,490
Cash and cash equivalents at end of period 28,012 17,463
Supplemental Disclosures of Cash Flow Information:    
Cash paid for interest 60,631 42,763
Cash paid for income taxes, net of refunds received $ 158 $ 998