v3.26.1
CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
 6 Months Ended
Jul. 04, 2026
Jun. 28, 2025
Cash Flows From Operating Activities:    
Net income $ 81,946 $ 32,218
Adjustments to reconcile net income to net cash from operating activities:    
Depreciation and amortization 5,893 5,211
Amortization of deferred debt issuance costs 1,948 3,350
Reduction in carrying amount of operating lease right of use assets 9,295 8,704
Non-cash share-based compensation 8,282 16,155
Loss on disposal or impairment of licenses, property and equipment, and software 120 319
Fair value adjustments on interest rate derivatives 1,230 17,580
Deferred income taxes 0 607
Changes in operating assets and liabilities, net of impact of acquisitions:    
Patient accounts receivable (12,819) (31,033)
Prepaid expenses 1,009 1,490
Other current and long-term assets 7,345 (3,813)
Accounts payable and other accrued liabilities 94 8,191
Accrued payroll and employee benefits (12,158) 111
Insurance reserves 9,573 (4,929)
Operating lease liabilities (9,714) (9,479)
Other current and long-term liabilities (6,767) (1,745)
Net cash provided by operating activities 85,277 42,937
Cash Flows From Investing Activities:    
Acquisitions of businesses, net of cash acquired (169,443) (14,853)
Payment for interest rate cap premium (4,634) 0
Purchases of property and equipment, and software (5,847) (3,477)
Net cash used in investing activities (179,924) (18,330)
Cash Flows From Financing Activities:    
Payment for shares withheld to cover employee taxes on vesting of restricted stock (478) (6,292)
Proceeds from employee stock purchase plan 2,461 1,791
Proceeds from exercise of options 605 0
Principal payments on term loans (3,312) (4,600)
Principal payments on notes payable (4,961) (4,086)
Payment of debt issuance costs 0 (1,114)
Settlements with interest rate swap counterparties 4,268 6,144
Net cash used in financing activities (1,417) (8,157)
Net change in cash and cash equivalents (96,064) 16,450
Cash and cash equivalents at beginning of period 193,260 84,288
Cash and cash equivalents at end of period 97,196 100,738
Supplemental Disclosures of Cash Flow Information:    
Cash paid for interest 54,884 69,193
Cash paid for income taxes, net of refunds received 12,973 15,723
Financed insurance premiums $ 1,669 $ 1,842