XML 16 R6.htm IDEA: XBRL DOCUMENT v3.26.1
CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Apr. 04, 2026
Mar. 29, 2025
Cash Flows From Operating Activities:    
Net income $ 41,653 $ 5,193
Adjustments to reconcile net income to net cash from operating activities:    
Depreciation and amortization 3,044 2,594
Amortization of deferred debt issuance costs 965 1,646
Reduction in carrying amount of operating lease right of use assets 4,607 4,352
Non-cash share-based compensation 4,147 10,996
(Gain) loss on disposal or impairment of licenses, property and equipment, and software (24) 166
Fair value adjustments on interest rate derivatives 647 11,602
Deferred income taxes 0 612
Changes in operating assets and liabilities, net of impact of acquisitions:    
Patient accounts receivable (19,327) (29,641)
Prepaid expenses (2,857) (2,433)
Other current and long-term assets 4,726 (646)
Accounts payable and other accrued liabilities 2,545 (5,972)
Accrued payroll and employee benefits (30,724) (1,752)
Insurance reserves 3,743 1,873
Operating lease liabilities (4,925) (4,771)
Other current and long-term liabilities (3,871) (2,451)
Net cash provided by (used in) operating activities 4,349 (8,632)
Cash Flows From Investing Activities:    
Purchases of property and equipment, and software (4,557) (2,348)
Net cash used in investing activities (4,557) (2,348)
Cash Flows From Financing Activities:    
Payments for shares withheld to cover employee taxes on vesting of restricted stock (478) (1,677)
Proceeds from exercise of options 269 0
Proceeds from employee stock purchase plan 0 1,791
Principal payments on term loans (3,312) (2,300)
Principal payments on notes payable (2,406) (2,763)
Settlements with interest rate swap counterparties 2,149 3,135
Net cash used in financing activities (3,778) (1,814)
Net change in cash and cash equivalents (3,986) (12,794)
Cash and cash equivalents at beginning of period 193,260 84,288
Cash and cash equivalents at end of period 189,274 71,494
Supplemental Disclosures of Cash Flow Information:    
Cash paid for interest 27,868 34,911
Cash paid for income taxes, net of refunds received $ (11) $ (460)