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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 12 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Operating Activities    
Net income (loss) $ (44,740) $ 25,765
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Loss on disposal of assets 18 1,039
Provision for uncollectible accounts 8,637 6,204
Depreciation and amortization 12,294 11,291
Gain on equity method investment (10,871)  
Loss on extinguishment of long-term debt 14,479  
Amortization of deferred financing costs 1,056 550
Stock-based compensation 1,664 543
Deferred income taxes 6,418 3,173
Loss in equity of nonconsolidated entities 1,343 678
Change in fair value of warrants 2,264  
Change in fair value of contingent consideration   920
Changes in operating assets and liabilities, net of acquisitions    
Accounts receivable, net 5,879 (1,202)
Prepaid expenses (4,987) (1,062)
Income taxes receivable (3,658) 1,952
Deposits and other (874) 1,063
Accounts payable and accrued expenses 6,137 (1,013)
Reported and estimated claims 2,613 2,045
Due to Medicaid and Medicare (5,220) (8,120)
Deferred revenue   2
Net cash provided by (used in) operating activities (7,548) 43,828
Investing Activities    
Purchases of property and equipment (17,541) (11,844)
Proceeds from sales of property and equipment   169
Proceeds from net working capital settlements   1,129
Purchase of long term investment   (1,145)
Purchase of intangible assets (2,000)  
Net cash used in investing activities (19,541) (11,691)
Financing Activities    
Distribution to owners (9,500)  
Capital contributions 20,000  
Payments on capital lease obligations (1,788) (1,834)
Proceeds from long-term debt 375,000 25,000
Principal payments on long-term debt (512,660) (1,934)
Payment of financing costs and debt premiums (14,896)  
Proceeds from initial public offering of common stock 370,468  
Treasury stock purchase (77,603)  
Payments under acquisition agreements (3,622)  
Payments related to option cancellation (29,175)  
Net cash provided by financing activities 116,224 21,232
INCREASE IN CASH, CASH EQUIVALENTS, & RESTRICTED CASH 89,135 53,369
CASH, CASH EQUIVALENTS & RESTRICTED CASH BEGINNING OF PERIOD 114,565 61,196
CASH, CASH EQUIVALENTS & RESTRICTED CASH END OF PERIOD 203,700 114,565
Supplemental Cash Flows Information    
Interest paid 18,030 11,551
Income taxes paid 7,048 4,745
Property and equipment included in accounts payable 1,327 1,348
Property and equipment purchased under capital leases $ 3,493 $ 1,399