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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
CASH FLOWS FROM OPERATING ACTIVITIES    
Net loss $ (131,055) $ (78,715)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:    
Depreciation and amortization 32,427 25,002
Stock and unit-based compensation 117,365 30,120
Loss on debt extinguishment 3,380 5,620
Amortization of discount and debt issue costs 748 1,081
Loss on remeasurement of contingent consideration 614 557
Endowment of shares to LifeStance Health Foundation 0 9,000
Change in operating assets and liabilities, net of businesses acquired:    
Patient accounts receivable, net (21,900) (11,831)
Prepaid expenses and other current assets (5,351) (14,964)
Accounts payable 1,731 2,261
Accrued payroll expenses (289) 9,580
Other accrued expenses 13,471 15,283
Net cash provided by (used in) operating activities 11,141 (7,006)
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchases of property and equipment (53,775) (31,803)
Acquisitions of businesses, net of cash acquired (35,118) (39,126)
Net cash used in investing activities (88,893) (70,929)
CASH FLOWS FROM FINANCING ACTIVITIES    
Proceeds from initial public offering, net of underwriters discounts and commissions and deferred offering costs 0 554,169
Issuance of common units to new investors 0 1,000
Proceeds from long-term debt, net of discount 228,000 98,800
Payments of debt issue costs (7,184) (2,360)
Payments of long-term debt (181,230) (310,729)
Prepayment for debt paydown (1,609) 0
Payments of contingent consideration (11,090) (5,587)
Taxes related to net share settlement of equity awards (478) 0
Net cash provided by financing activities 26,409 335,293
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS (51,343) 257,358
Cash and Cash Equivalents - Beginning of period 148,029 18,829
CASH AND CASH EQUIVALENTS – END OF PERIOD 96,686 276,187
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION    
Cash paid for interest 4,927 24,889
Cash paid for taxes, net of refunds 860 900
SUPPLEMENTAL DISCLOSURES OF NON CASH INVESTING AND FINANCING ACTIVITIES    
Unpaid deferred offering costs included in accounts payable and other accrued expenses 0 5,264
Equipment financed through capital leases 256 14
Contingent consideration incurred in acquisitions of businesses 5,683 2,739
Acquisition of property and equipment included in liabilities 13,055 10,233
Issuance of common units for acquisitions of businesses $ 0 $ 1,486