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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 29, 2024
Jul. 01, 2023
Cash Flows From Operating Activities:    
Net income (loss) $ 2,734 $ (6,399)
Adjustments to reconcile net income (loss) to net cash from operating activities:    
Depreciation and amortization 5,745 7,532
Amortization of deferred debt issuance costs 2,484 2,719
Amortization and impairment of operating lease right of use assets 10,867 8,174
Non-cash share-based compensation 7,581 5,027
Loss on disposal or impairment of licenses, property and equipment, and software 308 381
Fair value adjustments on interest rate derivatives (5,130) 1,738
Deferred income taxes 611 592
Changes in operating assets and liabilities, net of impact of acquisitions:    
Patient accounts receivable (36,404) (16,195)
Prepaid expenses 1,032 1,354
Other current and long-term assets (14,578) (10,720)
Accounts payable and other accrued liabilities 8,362 (5,790)
Accrued payroll and employee benefits 5,464 16,347
Insurance reserves 7,365 (3,016)
Operating lease liabilities (10,277) (7,281)
Other current and long-term liabilities 3,673 2,514
Net cash used in operating activities (10,163) (3,023)
Cash Flows From Investing Activities:    
Purchase of certificates of need   (2,678)
Purchases of property and equipment, and software (2,577) (3,421)
Net cash used in investing activities (2,577) (6,099)
Cash Flows From Financing Activities:    
Proceeds from employee stock purchase plan 1,349 945
Proceeds from securitization obligation 25,000 45,000
Repayment of securitization obligation (10,000) (25,000)
Proceeds from revolving credit facility   20,000
Repayments on revolving credit facility   (20,000)
Principal payments on term loans (4,600) (4,600)
Principal payments on notes payable (3,561) (5,125)
Principal payments on financing lease obligations (131) (378)
Payment of debt issuance costs (267)
Settlements with interest rate swap counterparties 8,669 7,075
Net cash provided by financing activities 16,459 17,917
Net change in cash and cash equivalents 3,719 8,795
Cash and cash equivalents at beginning of period 43,942 19,217
Cash and cash equivalents at end of period 47,661 28,012
Supplemental Disclosures of Cash Flow Information:    
Cash paid for interest 77,232 60,631
Cash paid for income taxes, net of refunds received $ 4,939 $ 158