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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 29, 2025
Mar. 30, 2024
Cash Flows From Operating Activities:    
Net income (loss) $ 5,193 $ (11,172)
Adjustments to reconcile net income (loss) to net cash from operating activities:    
Depreciation and amortization 2,594 2,912
Amortization of deferred debt issuance costs 1,646 1,223
Reduction in carrying amount of operating lease right of use assets 4,352 6,233
Non-cash share-based compensation 10,996 4,081
Loss on disposal or impairment of licenses, property and equipment, and software 166 229
Fair value adjustments on interest rate derivatives 11,602 (8,276)
Deferred income taxes 612 614
Changes in operating assets and liabilities:    
Patient accounts receivable (29,641) (20,986)
Prepaid expenses (2,433) (346)
Other current and long-term assets (646) (4,308)
Accounts payable and other accrued liabilities (5,972) 13,065
Accrued payroll and employee benefits (1,752) 1,793
Insurance reserves 1,873 5,679
Operating lease liabilities (4,771) (4,542)
Other current and long-term liabilities (2,451) 1,829
Net cash used in operating activities (8,632) (11,972)
Cash Flows From Investing Activities:    
Purchases of property and equipment, and software (2,348) (1,308)
Net cash used in investing activities (2,348) (1,308)
Cash Flows From Financing Activities:    
Payments for shares withheld to cover employee taxes on vesting of restricted stock (1,677)  
Proceeds from employee stock purchase plan 1,791 1,349
Proceeds from securitization obligation 0 20,000
Repayment of securitization obligation 0 (10,000)
Principal payments on term loans (2,300) (2,300)
Principal payments on notes payable (2,763) (1,383)
Principal payments on financing lease obligations 0 (65)
Settlements with interest rate swap counterparties 3,135 4,344
Net cash (used in) provided by financing activities (1,814) 11,945
Net change in cash and cash equivalents (12,794) (1,335)
Cash and cash equivalents at beginning of period 84,288 43,942
Cash and cash equivalents at end of period 71,494 42,607
Supplemental Disclosures of Cash Flow Information:    
Cash paid for interest 34,911 38,491
Cash paid for income taxes, net of refunds received $ (460) $ (64)