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FY2025
12 months to Dec 31, 2025
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FY2024
12 months to Dec 31, 2024
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FY2023
12 months to Dec 31, 2023
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FY2022
12 months to Dec 31, 2022
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FY2021
12 months to Dec 31, 2021
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|---|---|---|---|---|---|
| Cash flows from operating activities: | |||||
| Net (loss) income | |||||
| Adjustments to reconcile net (loss) income to net cash provided by operating activities: | |||||
| Depreciation and amortization, including patient equipment depreciation | |||||
| Goodwill impairment | |||||
| Equity-based compensation | |||||
| Change in fair value of warrant liability | |||||
| Change in fair value of contingent consideration common shares liability | |||||
| Reduction in the carrying amount of operating lease right-of-use assets | |||||
| Reduction in the carrying amount of finance lease right-of-use assets | |||||
| Deferred income tax expense (benefit) | |||||
| Change in fair value of interest rate swaps, net of reclassification adjustment | |||||
| Amortization of intangible assets | |||||
| Amortization of deferred financing costs | |||||
| Write-off of deferred financing costs | |||||
| Loss on extinguishment of debt from prepayment penalty | |||||
| Loss on extinguishment of debt | |||||
| Payment of contingent consideration from an acquisition | |||||
| Gain on sale of businesses (note 4) | |||||
| Other | |||||
| Changes in operating assets and liabilities, net of effects from acquisitions: | |||||
| Accounts receivable | |||||
| Inventory | |||||
| Prepaid and other assets | |||||
| Operating lease obligations | |||||
| Operating liabilities | |||||
| Net cash provided by operating activities | |||||
| Cash flows from investing activities: | |||||
| Purchases of equipment and other fixed assets | |||||
| Payments for business acquisitions, net of cash acquired | |||||
| Proceeds from the sale of businesses, net of cash disposed | |||||
| Proceeds from the sale of assets | |||||
| Payments for cost method investments | |||||
| Receipt of contingent consideration from the sale of assets | |||||
| Net cash used in investing activities | |||||
| Cash flows from financing activities: | |||||
| Repayments on long-term debt and lines of credit | |||||
| Proceeds from borrowings on lines of credit | |||||
| Repayments of finance lease obligations | |||||
| Payments for shares purchased under share repurchase program | |||||
| Proceeds from the exercise of stock options | |||||
| Proceeds received in connection with employee stock purchase plan | |||||
| Proceeds from the issuance of senior unsecured notes | |||||
| Proceeds from the issuance of Class A Common Stock | |||||
| Payments for equity issuance costs | |||||
| Total payments for equity issuance costs | |||||
| Payments of debt financing costs | |||||
| Payments for debt prepayment penalties | |||||
| Distributions to noncontrolling interests | |||||
| Payments for tax withholdings from vesting of restricted stock units | |||||
| Payments of contingent consideration and deferred purchase price from acquisitions | |||||
| Net cash used in financing activities | |||||
| Net (decrease) increase in cash | |||||
| Cash at beginning of period | |||||
| Cash at end of period | |||||
| Supplemental disclosures: | |||||
| Cash paid for interest | |||||
| Cash paid for income taxes, net of refunds | |||||
| Noncash investing and financing activities: | |||||
| Equipment acquired under finance lease obligations | |||||
| Unpaid equipment and other fixed asset purchases at end of period | |||||
| Assets subject to operating lease obligations | |||||
| Operating leases | |||||
| Operating lease obligations | |||||
| Write-off of assets subject to operating lease obligations | |||||
| Write-off of operating lease obligations | |||||
| Assets subject to finance lease obligations | |||||
| Finance lease obligations | |||||
| Equity consideration issued in connection with acquisitions | |||||
| Contingent purchase price in connection with acquisitions | |||||
| Write-off of assets subject to finance lease obligations | |||||
| Write-off of finance lease obligations | |||||
| Deferred purchase price in connection with acquisitions | |||||
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