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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 income | |||||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||
| Depreciation and amortization | |||||
| Amortization of deferred financing fees | |||||
| Non-cash leasing arrangement | |||||
| Impairment of long-lived assets | |||||
| Write-off of deferred financing fees | |||||
| Deferred income taxes | |||||
| Provision for doubtful accounts | |||||
| Stock-based compensation | |||||
| Cash received from insurance proceeds | |||||
| Loss (gain) on sale of assets | |||||
| (Gain)/loss on insurance claims, legal matters and asset disposals | |||||
| Loss (gain) on insurance claims and asset disposals | |||||
| Litigation | |||||
| Insurance proceeds and (gain) loss on long-lived assets, net | |||||
| Other operating activities, net | |||||
| Change in operating assets and liabilities | |||||
| Accounts receivable | |||||
| Prepaid income taxes | |||||
| Prepaid expenses and other assets | |||||
| Deferred employer portion of social security taxes | |||||
| Cash surrender value of life insurance policy premiums | |||||
| Deferred compensation liability | |||||
| Operating lease obligations | |||||
| Accounts payable | |||||
| Accrued wages and related liabilities | |||||
| Other accrued liabilities | |||||
| Accrued self-insurance liabilities | |||||
| Other long-term liabilities | |||||
| NET CASH PROVIDED BY OPERATING ACTIVITIES | |||||
| Cash flows from investing activities: | |||||
| Purchase of property and equipment | |||||
| Cash payments for business acquisitions (Note 7) | |||||
| Cash payments for asset acquisitions (Note 7) | |||||
| Escrow deposits | |||||
| Cash payments for acquisitions | |||||
| Cash from insurance proceeds | |||||
| Cash proceeds from the sale of assets | |||||
| Deconsolidation of an ancillary business | |||||
| Cash payments for Medicare and Medicaid licenses | |||||
| Cash proceeds from insurance recoveries and sale of assets | |||||
| Purchases of investments | |||||
| Maturities of investments | |||||
| Other investing activities, net | |||||
| NET CASH USED IN INVESTING ACTIVITIES | |||||
| Cash flows from financing activities: | |||||
| Proceeds from debt (Note 13) | |||||
| Payments on debt | |||||
| Issuance of common stock upon exercise of options | |||||
| Repurchase of shares of common stock to satisfy tax withholding obligations | |||||
| Repurchase of shares of common stock (Note 19) | |||||
| Dividends paid | |||||
| Proceeds from sale of subsidiary shares | |||||
| Non-controlling interest distribution | |||||
| Purchase of non-controlling interest | |||||
| Payment of contingent consideration | |||||
| Payments of deferred financing costs | |||||
| Proceeds from CARES Act Provider Relief Fund and Medicare Advance Payment Program (Note 3) | |||||
| Repayments of CARES Act Provider Relief Fund and Medicare Advance Payment Program (Note 3) | |||||
| Other financing activities | |||||
| NET CASH USED IN FINANCING ACTIVITIES | |||||
| Net increase (decrease) in cash and cash equivalents | |||||
| Cash and cash equivalents beginning of period | |||||
| Cash and cash equivalents end of period | |||||
| SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION | |||||
| Cash paid during the period for: | |||||
| Interest | |||||
| Income taxes | |||||
| Lease liabilities | |||||
| Non-cash financing and investing activity | |||||
| Accrued capital expenditures | |||||
| Accrued dividends declared | |||||
| Right-of-use assets obtained in exchange for new and modified operating lease obligations | |||||
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