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v3.23.1

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2023 | Mar. 31, 2022
Cash flows from operating activities: |  |
Net income | $ 16,675 | $ 42,230
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization, including patient equipment depreciation | 93,813 | 77,030
Equity-based compensation | 5,916 | 5,502
Change in fair value of warrant liability | (21,914) | (26,717)
Reduction in the carrying amount of operating lease right-of-use assets | 8,486 | 7,484
Reduction in the carrying amount of finance lease right-of-use assets | 427 | 0
Deferred income tax (benefit) expense | (2,327) | 4,303
Change in fair value of interest rate swaps, net of reclassification adjustment | (579) | (726)
Amortization of deferred financing costs | 1,309 | 1,309
Changes in operating assets and liabilities, net of effects from acquisitions: |  |
Accounts receivable | 5,920 | (9,481)
Inventory | (8,149) | 21,331
Prepaid and other assets | (4,503) | 12,237
Operating lease obligations | (9,451) | (7,420)
Operating liabilities | 54,625 | (60,631)
Net cash provided by operating activities | 140,248 | 66,451
Cash flows from investing activities: |  |
Purchases of equipment and other fixed assets | (89,120) | (77,166)
Payments for business acquisitions, net of cash acquired | (447) | (2,932)
Net cash used in investing activities | (89,567) | (80,098)
Cash flows from financing activities: |  |
Proceeds from borrowings on long-term debt | 50,000 | 0
Repayments on long-term debt | (30,000) | (5,000)
Repayments of finance lease obligations | (981) | (8,156)
Payments for shares purchased under share repurchase program | (9,224) | 0
Proceeds from the exercise of stock options | 0 | 723
Proceeds received in connection with employee stock purchase plan | 1,021 | 753
Payments relating to the Tax Receivable Agreement | (3,202) | 0
Payments for tax withholdings from restricted stock vesting and stock option exercises | (2,492) | (1,269)
Payments of contingent consideration and deferred purchase price from acquisitions | (674) | (3,603)
Net cash provided by (used in) financing activities | 4,448 | (16,552)
Net increase (decrease) in cash | 55,129 | (30,199)
Cash at beginning of period | 46,272 | 149,627
Cash at end of period | 101,401 | 119,428
Supplemental disclosures: |  |
Cash paid for interest | 50,051 | 43,931
Cash paid for income taxes | 384 | 11
Noncash investing and financing activities: |  |
Equipment acquired under finance lease obligations | 0 | 1,335
Unpaid equipment and other fixed asset purchases at end of period | 34,940 | 26,194
Assets subject to operating lease obligations | 3,847 | 2,627
Operating lease obligations | (3,847) | (2,627)
Assets subject to finance lease obligations | 2,407 | 0
Finance lease obligations | (2,407) | 0
Deferred purchase price in connection with acquisitions | $ 50 | $ 308

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