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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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|---|---|---|---|---|---|
| OPERATING ACTIVITIES | |||||
| Net income including non-controlling interest | |||||
| Adjustments to reconcile net income including non-controlling interest to net cash provided by operating activities: | |||||
| Depreciation and amortization | |||||
| Provision for credit losses | |||||
| Equity-based awards compensation expense | |||||
| Deferred income taxes | |||||
| Amortization of debt issue costs | |||||
| Change in deferred income taxes | |||||
| Change in revaluation of put-right liability | |||||
| Change in fair value of contingent earn-out consideration | |||||
| Equity of earnings in unconsolidated affiliate | |||||
| Loss on sale of clinics and fixed assets | |||||
| Impairment of Goodwill | |||||
| Loss on sale of partnership | |||||
| Impairment of goodwill and other intangible assets | |||||
| Impairment of assets held for sale | |||||
| Other | |||||
| Changes in operating assets and liabilities: | |||||
| Patient accounts receivable, net | |||||
| Accounts receivable - other | |||||
| Other current and long term assets | |||||
| Accounts payable and accrued expenses | |||||
| Other long-term liabilities | |||||
| Net cash provided by operating activities | |||||
| INVESTING ACTIVITIES | |||||
| Purchase of fixed assets | |||||
| Purchase of majority interest in businesses, net of cash acquired | |||||
| Purchase of redeemable non-controlling interest, temporary equity | |||||
| Purchase of non controlling interest, permanent equity | |||||
| Proceeds on sale of non-controlling interest, permanent equity | |||||
| Repayment of notes receivable related to sales of redeemable non-controlling interest | |||||
| Proceeds on sale of partnership interest - redeemable non-controlling interest, temporary equity | |||||
| Distributions from unconsolidated affiliate | |||||
| Proceeds on sale of partnership interest, clinics and fixed assets | |||||
| Other | |||||
| Net cash used in investing activities | |||||
| FINANCING ACTIVITIES | |||||
| Proceeds from revolving facility | |||||
| Distributions to non-controlling interest, permanent and temporary equity | |||||
| Cash dividends paid to shareholders | |||||
| Payments on term loan | |||||
| Proceeds from term loan | |||||
| Payment of deferred financing costs | |||||
| Payment of Medicare Accelerated and Advance Funds | |||||
| Other | |||||
| Cash used for the repurchase of common stock | |||||
| Principal payments on notes payable | |||||
| Net cash (used in) provided by financing activities | |||||
| Net (decrease) increase 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: | |||||
| Income taxes | |||||
| Interest paid | |||||
| Non-cash investing and financing transactions during the period: | |||||
| Purchase of businesses - seller financing portion | |||||
| Liabilities assumed associated with a purchase of a business | |||||
| Fair market value of initial contingent consideration related to purchase of businesses | |||||
| Notes payable related to purchase of redeemable non-controlling interest, temporary equity | |||||
| Payable related to the purchase of redeemable non-controlling interest, temporary equity | |||||
| Offset to notes receivable associated with purchase of redeemable non-controlling interest | |||||
| Notes receivable related to sale of redeemable non-controlling interest | |||||
| Notes payable related to the purchase of non-controlling interest, permanent equity | |||||
| Payable related to the purchase of non-controlling interest, permanent equity | |||||
| Notes receivable related to the sale of non-controlling interest, permanent equity | |||||
| Issuance of restricted stock related to purchase of business | |||||
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