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v3.23.2

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 6 Months Ended
--- | ---
Jun. 30, 2023 | Jun. 30, 2022
CASH FLOWS FROM OPERATING ACTIVITIES |  |
Net income (loss) | $ 275 | $ 22,194
Adjustments to reconcile net income (loss) to net cash provided by operating activities: |  |
Depreciation and amortization | 63,495 | 55,980
Amortization of operating lease right-of-use assets | 31,601 | 34,055
Equity in earnings of joint ventures, net of dividends | 6,096 | (5,266)
Amortization of deferred financing costs and loan discount | 1,494 | 1,295
Loss on sale and disposal of equipment and other | 656 | 1,209
Amortization of cash flow hedge, net of taxes | 1,844 | 1,847
Non-cash change in fair value of interest rate hedge | (66) | (27,125)
Stock-based compensation | 17,055 | 15,795
Change in fair value of contingent consideration | 3,098 | (1,287)
Changes in operating assets and liabilities, net of assets acquired and liabilities assumed in purchase transactions: |  |
Accounts receivable | (8,124) | (30,566)
Other current assets | 4,703 | (709)
Other assets | (6,590) | 1,282
Deferred taxes | (2,249) | 4,732
Operating lease liability | (28,582) | (32,219)
Deferred revenue | 1,033 | (7,565)
Accounts payable, accrued expenses and other | 14,952 | 32,092
Net cash provided by (used in) operating activities | 100,691 | 65,744
CASH FLOWS FROM INVESTING ACTIVITIES |  |
Purchase of imaging centers and other acquisitions | (10,315) | (26,009)
Purchase of property and equipment | (95,380) | (72,659)
Proceeds from sale of equipment | 73 | 4,121
Equity contributions in existing and purchase of interest in joint ventures | (288) | (1,441)
Net cash provided by (used in) investing activities | (105,910) | (95,988)
CASH FLOWS FROM FINANCING ACTIVITIES |  |
Principal payments on notes payable | (1,052) | 0
Payments on term loan debt | (7,376) | (6,625)
Distributions paid to noncontrolling interests | (3,523) | 0
Proceeds from issuance of common stock, net of issuance costs | 246,202 | 0
Proceeds from issuance of common stock upon exercise of options | 51 | 0
Net cash provided by (used in) financing activities | 234,302 | (6,625)
EFFECT OF EXCHANGE RATE CHANGES ON CASH | (266) | 1,433
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 228,817 | (35,436)
CASH AND CASH EQUIVALENTS, beginning of period | 127,834 | 134,606
CASH AND CASH EQUIVALENTS, end of period | 356,651 | 99,170
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION |  |
Cash paid during the period for interest | 39,301 | 19,687
Cash paid during the period for income taxes | $ 201 | $ 126

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