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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Operating activities:    
Net loss $ (24,982) $ (21,886)
Adjustments to reconcile net loss to cash provided by operating activities:    
Depreciation and amortization 61,153 74,095
Share-based compensation expense 6,928 6,866
Deferred income tax benefit (6,240) (3,659)
Changes in operating lease right-of-use assets and lease liabilities 14,452 1,139
Gain from sale and dispositions of patient service equipment, property and equipment (5,353) (15,619)
Changes in operating assets and liabilities:    
Accounts receivable, net 111,613 (74,963)
Merchandise inventories (274,589) (35,412)
Accounts payable 157,668 52,926
Net change in other assets and liabilities (76,476) (39,617)
Other, net 760 3,168
Cash used for operating activities (35,066) (52,962)
Investing activities:    
Acquisition, net of cash acquired (55,697) (45,997)
Proceeds from sale of property and equipment 16,884 49,538
Additions to computer software (8,977) (3,411)
Other, net (410) (2,000)
Cash used for investing activities (48,200) (1,870)
Financing activities:    
Borrowings under amended Receivables Financing Agreement 0 205,000
Repayments under amended Receivables Financing Agreement 0 (139,300)
Borrowings under Revolving Credit Facility 776,984 0
Repayments under Revolving Credit Facility (679,484) 0
Repayments of term loans 0 (4,625)
Repurchase of common stock (1,503) 0
Other, net (3,219) (7,755)
Cash provided by financing activities 92,778 53,320
Effect of exchange rate changes on cash, cash equivalents and restricted cash 542 (618)
Net increase (decrease) in cash, cash equivalents and restricted cash 10,054 (2,130)
Cash, cash equivalents and restricted cash at beginning of period 49,382 272,924
Cash, cash equivalents and restricted cash at end of period 59,436 270,794
Supplemental disclosure of cash flow information:    
Income taxes paid, net 125 2,365
Interest paid 27,487 18,211
Noncash investing activity:    
Unpaid purchases of property and equipment and computer software at end of period $ 81,085 $ 69,368