v3.25.2
CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
 6 Months Ended
Jun. 28, 2025
Jun. 29, 2024
Cash Flows From Operating Activities:    
Net income $ 32,218 $ 2,734
Adjustments to reconcile net income to net cash from operating activities:    
Depreciation and amortization 5,211 5,745
Amortization of deferred debt issuance costs 3,350 2,484
Reduction in carrying amount of operating lease right of use assets 8,704 10,867
Non-cash share-based compensation 16,155 7,581
Loss on disposal or impairment of licenses, property and equipment, and software 319 308
Fair value adjustments on interest rate derivatives 17,580 (5,130)
Deferred income taxes 607 611
Changes in operating assets and liabilities, net of impact of acquisitions:    
Patient accounts receivable (31,033) (36,404)
Prepaid expenses 1,490 1,032
Other current and long-term assets (3,813) (14,578)
Accounts payable and other accrued liabilities 8,191 8,362
Accrued payroll and employee benefits 111 5,464
Insurance reserves (4,929) 7,365
Operating lease liabilities (9,479) (10,277)
Other current and long-term liabilities (1,745) 3,673
Net cash provided by (used in) operating activities 42,937 (10,163)
Cash Flows From Investing Activities:    
Acquisitions of businesses, net of cash acquired (14,853) 0
Purchases of property and equipment, and software (3,477) (2,577)
Net cash used in investing activities (18,330) (2,577)
Cash Flows From Financing Activities:    
Payments for shares withheld to cover employee taxes on vesting of restricted stock (6,292) 0
Proceeds from employee stock purchase plan 1,791 1,349
Proceeds from securitization obligation 0 25,000
Repayment of securitization obligation 0 (10,000)
Principal payments on term loans (4,600) (4,600)
Principal payments on notes payable (4,086) (3,561)
Principal payments on financing lease obligations 0 (131)
Payment of debt issuance costs (1,114) (267)
Settlements with interest rate swap counterparties 6,144 8,669
Net cash (used in) provided by financing activities (8,157) 16,459
Net change in cash and cash equivalents 16,450 3,719
Cash and cash equivalents at beginning of period 84,288 43,942
Cash and cash equivalents at end of period 100,738 47,661
Supplemental Disclosures of Cash Flow Information:    
Cash paid for interest 69,193 77,232
Cash paid for income taxes, net of refunds received $ 15,723 $ 4,939