7Baggers
Quarterly
Annual
    Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-09-01 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 
      
    		                                     
      cash flows from operating activities:
    		                                     
      net income
    		25,300,000 44,900,000 -300,000 -46,600,000 6,400,000 28,400,000 24,300,000 46,700,000 1,200,000 23,300,000 5,600,000 15,300,000 42,800,000 42,900,000 8,200,000 8,800,000 10,800,000 47,900,000 -34,300,000 -3,900,000 -8,400,000 22,600,000 10,900,000 8,100,000 3,500,000 -107,080,000 2,019,000 4,310,000 5,125,000 -28,697,000 11,627,000 14,422,000 38,100,000 14,334,000 22,292,000 10,357,000 36,094,000 
      adjustments to reconcile net income to net cash from operating activities:
    		                                     
      depreciation and amortization
    		39,500,000 40,300,000 36,300,000 33,900,000 50,200,000 34,800,000 33,700,000 31,100,000 33,700,000 29,600,000 29,800,000 28,000,000 27,400,000 22,700,000 25,200,000 25,200,000 25,700,000 25,500,000 24,100,000 23,400,000 21,800,000 20,200,000 18,400,000 19,100,000 18,800,000 18,061,000 16,945,000 16,685,000 15,749,000 -19,195,000 11,417,000 11,108,000 10,567,000 9,713,000 9,703,000 9,568,000 9,007,000 
      non-cash lease expense
    		9,600,000 9,900,000 9,600,000 9,700,000 10,500,000 9,700,000 9,000,000 8,800,000 9,000,000 8,000,000 9,700,000 8,500,000 8,600,000 8,800,000 10,300,000 10,200,000 9,800,000 10,000,000 9,300,000 10,700,000 9,400,000   9,500,000 10,100,000             
      non-cash interest expense
    		2,200,000 1,500,000 2,500,000 1,700,000 1,700,000 1,600,000 1,500,000 5,200,000 6,500,000 6,900,000 6,600,000 6,300,000 6,100,000 10,000,000 6,300,000 4,100,000 1,600,000                     
      equity-based compensation expense
    		2,600,000 6,800,000 7,600,000 6,200,000 7,100,000 15,100,000 4,900,000 4,500,000 4,200,000 5,400,000 5,000,000 4,300,000 3,700,000 4,000,000 4,100,000 4,100,000 5,200,000 3,300,000 3,000,000 3,400,000 3,500,000 2,600,000 2,700,000               
      net income on disposals, consolidations and deconsolidations
    		15,600,000 -3,000,000 6,400,000 19,100,000 14,700,000 5,300,000 1,500,000 6,900,000                              
      loss on debt extinguishment
    		   0 0         0 -500,000       0 0               
      deferred income taxes
    		5,100,000 -1,500,000 -300,000 121,200,000 2,700,000 5,100,000 2,500,000 9,100,000 -1,800,000 9,500,000 7,500,000 3,900,000 1,000,000 11,200,000 900,000 -3,100,000 -100,000 -6,600,000 1,100,000 -900,000 -15,500,000 4,400,000 2,100,000 700,000 1,300,000 15,808,000 5,637,000 2,475,000 1,352,000 -2,359,000 88,000 1,806,000 4,979,000 -1,987,000 2,405,000 1,485,000 -157,310,000 
      equity in earnings of unconsolidated affiliates, net of distributions received
    		800,000 -900,000 1,100,000 -2,300,000 100,000 -800,000 1,000,000 500,000 -200,000 -1,300,000 -100,000 500,000 -900,000                         
      changes in operating assets and liabilities, net of acquisitions and divestitures:
    		                                     
      accounts receivable
    		-16,200,000 3,700,000 4,800,000 -40,900,000 -19,100,000 -17,500,000 5,400,000 -29,000,000 8,800,000 -38,700,000 -2,000,000 3,400,000 2,000,000 -13,700,000 -15,300,000 -7,000,000 3,900,000 -34,700,000 -28,200,000 800,000 15,500,000 -31,200,000 800,000 -6,500,000 13,400,000 846,000 -22,204,000 -9,544,000 8,083,000 2,904,000 -2,266,000 -3,433,000 -22,142,000 -12,578,000 -13,356,000 -12,546,000 -14,245,000 
      other operating assets and liabilities
    		-2,200,000 -20,400,000 -61,700,000 9,400,000 -9,100,000 -4,000,000 -43,100,000 -36,700,000 3,800,000 -46,100,000 -21,100,000 -7,000,000 7,200,000 -41,300,000 -7,100,000 3,400,000 1,600,000 -32,200,000 1,300,000 20,600,000 -2,400,000 -16,600,000 11,300,000 -11,000,000 -29,000,000 50,297,000 1,641,000 12,571,000 -8,529,000 4,611,000 -9,366,000 1,836,000 3,127,000 -10,074,000 20,788,000 3,362,000 -550,000 
      net cash from operating activities
    		83,600,000 81,300,000 6,000,000 111,400,000 65,200,000 82,800,000 40,700,000 62,600,000 74,500,000 7,200,000 29,700,000 42,100,000 79,800,000 19,700,000 14,900,000 2,300,000 50,200,000 8,900,000 26,900,000 181,900,000 29,200,000 25,400,000 56,900,000 26,700,000 20,500,000 45,546,000 29,414,000 39,584,000 30,056,000 -57,693,000 21,601,000 34,870,000 32,376,000 18,826,000 48,793,000 25,244,000 24,189,000 
      capex
    		-19,800,000 -23,400,000 -22,700,000 -22,300,000 -20,200,000 -26,900,000 -21,000,000 -19,800,000 -24,300,000 -22,700,000 -17,300,000 -22,400,000 -18,200,000 -14,100,000 -15,500,000 -13,500,000 -14,500,000 -15,100,000 -7,900,000 -8,100,000 -11,800,000 -23,400,000 -18,400,000 -20,000,000 -11,800,000 -13,187,000 -10,675,000 -5,960,000 -5,955,000 13,262,000 -8,752,000 -6,350,000 -10,732,000 -8,027,000 -8,546,000 -11,804,000 -15,324,000 
      free cash flows
    		63,800,000 57,900,000 -16,700,000 89,100,000 45,000,000 55,900,000 19,700,000 42,800,000 50,200,000 -15,500,000 12,400,000 19,700,000 61,600,000 5,600,000 -600,000 -11,200,000 35,700,000 -6,200,000 19,000,000 173,800,000 17,400,000 2,000,000 38,500,000 6,700,000 8,700,000 32,359,000 18,739,000 33,624,000 24,101,000 -44,431,000 12,849,000 28,520,000 21,644,000 10,799,000 40,247,000 13,440,000 8,865,000 
      cash flows from investing activities:
    		                                     
      purchases of property and equipment
    		-19,800,000 -23,400,000 -22,700,000 -22,300,000 -20,200,000 -26,900,000 -21,000,000 -19,800,000 -24,300,000 -22,700,000 -17,300,000 -22,400,000 -18,200,000 -14,100,000 -15,500,000 -13,500,000 -14,500,000 -15,100,000 -7,900,000 -8,100,000 -11,800,000 -23,400,000 -18,400,000 -20,000,000 -11,800,000 -13,187,000 -10,675,000 -5,960,000 -9,983,000 13,262,000 -8,752,000 -6,350,000 -10,732,000 -8,027,000 -8,546,000 -11,804,000 -15,324,000 
      payments for acquisitions, net of cash acquired
    		-4,600,000 -4,000,000 -44,000,000 -87,600,000 -26,600,000 -210,000,000 -54,600,000 -31,200,000 -40,700,000 -63,800,000 -7,700,000 -43,800,000 -31,100,000 -184,800,000 -85,800,000 -13,100,000 -2,100,000 -90,400,000 -1,800,000 -6,900,000 -5,500,000 0 -600,000 -5,600,000 -7,600,000 -51,559,000 -7,319,000 -22,305,000 -25,589,000 13,000,000 -13,888,000 -275,000 -20,387,000 -13,001,000 -105,968,000 -7,049,000 -80,034,000 
      proceeds from disposals of facilities and other assets
    		0 38,100,000 4,800,000 1,100,000 0 0 1,500,000 0 8,000,000     3,500,000 0 200,000 2,300,000 10,200,000 38,900,000 0 9,400,000  0 16,400,000 1,200,000             
      purchases of equity investments
    		-9,600,000 0 -3,800,000 0 0 300,000 -2,000,000 -100,000 -9,600,000 0 -29,300,000            0               
      proceeds from sales of equity investments
    		   600,000 0   400,000  1,300,000 0 0 11,500,000                         
      other investing activities
    		-12,200,000 -8,600,000 -10,700,000 -3,500,000 -2,800,000 -11,500,000 -7,000,000 -7,400,000 -4,100,000 100,000 0 -2,300,000 -9,300,000 0    100,000 100,000 200,000 200,000 0 100,000 -100,000 -200,000 1,356,000 -1,595,000 -374,000 -842,000         
      net cash from investing activities
    		-46,200,000 2,100,000 -76,400,000 -111,700,000 -49,600,000 -244,100,000 -83,100,000 -58,100,000 -70,700,000 -72,200,000 -54,300,000 -134,300,000 -47,100,000 -190,000,000 -101,000,000 -26,400,000 -14,300,000 -95,200,000 29,300,000 -14,800,000 -7,700,000 -23,400,000 -18,900,000 -24,500,000 -18,400,000 -62,251,000 -11,789,000 -18,408,000 -36,414,000 26,192,000 -22,570,000 -6,625,000 -30,354,000 -21,028,000 -114,514,000 -18,853,000 -95,358,000 
      cash flows from financing activities:
    		                                     
      principal payments on long-term debt
    		-161,000,000 -180,100,000 -119,300,000 -170,500,000 -135,000,000 -853,600,000 -120,200,000 -700,000,000 -15,900,000 -780,500,000 -48,200,000 -16,300,000 -17,000,000 -14,800,000 -19,000,000 -292,800,000 -16,600,000 -19,000,000 -14,500,000 -130,000,000 -52,800,000 -54,700,000 -13,300,000 -409,900,000 -12,900,000 -62,707,000 -49,528,000 -29,100,000 -16,252,000 109,755,000 -67,837,000 -45,527,000 -19,480,000 -29,609,000 -28,202,000 -396,146,000 -264,868,000 
      borrowings of long-term debt
    		127,900,000 168,600,000 213,600,000 265,900,000 168,400,000 1,102,900,000 192,500,000 707,200,000 15,900,000 166,600,000 38,800,000 500,000 11,900,000 6,400,000 9,900,000 282,500,000 600,000 1,400,000 139,800,000 129,800,000 158,400,000 64,400,000 3,600,000 436,500,000 2,400,000 219,982,000 41,409,000 20,976,000 374,000  96,186,000 23,592,000 69,762,000 55,523,000 24,154,000 501,268,000 110,934,000 
      payments of debt issuance costs
    		   200,000 -200,000   -22,800,000 -1,300,000     0 -3,000,000 -7,600,000 -1,100,000 -200,000 -1,800,000   -100,000 0       937,000   0 -1,741,000 -646,000 -11,909,000  
      distributions to non-controlling interest holders
    		-52,500,000 -54,000,000 -62,300,000 -48,100,000 -41,700,000 -40,200,000 -40,500,000 -35,100,000 -41,900,000 -36,300,000 -35,300,000 -39,000,000 -36,200,000 -33,500,000 -34,100,000 -32,100,000 -31,300,000 -27,300,000 -30,600,000 -27,700,000 -24,000,000 -31,700,000 -28,600,000 -27,100,000 -33,800,000 -28,933,000 -24,315,000 -24,857,000 -30,919,000 30,397,000 -17,579,000 -19,262,000 -16,335,000 -17,081,000 -14,849,000 -17,513,000 -18,525,000 
      proceeds related to ownership transactions with non-controlling interest holders
    		-600,000 1,400,000 1,700,000  4,600,000 -400,000 1,400,000                               
      other financing activities
    		3,700,000 1,500,000 -3,500,000 -3,500,000 -3,400,000 -4,200,000 -1,500,000 -1,400,000 -3,100,000 -3,600,000 -3,400,000 -3,600,000 700,000 -3,500,000 -3,500,000 -2,900,000 -8,000,000 -600,000 0 500,000 -800,000 100,000 0 100,000 -1,100,000 -101,000 -149,000 -227,000 -749,000         
      net cash from financing activities
    		-84,100,000 -62,600,000 30,200,000 48,000,000 -7,300,000 189,600,000 31,700,000 -44,600,000 -41,200,000 193,100,000 -48,000,000 -59,300,000 -43,700,000 229,800,000 -48,300,000 -53,000,000 187,800,000 -45,800,000 67,500,000 -35,400,000 80,400,000 -20,600,000 -44,100,000 -27,300,000 -43,900,000 121,890,000 -34,571,000 -37,923,000 -55,740,000 29,661,000 2,037,000 -41,978,000 12,468,000 5,812,000 -17,727,000 70,723,000 72,254,000 
      net increase in cash and cash equivalents
    		   47,700,000 8,300,000     128,100,000 -72,600,000 -151,500,000 -11,000,000                   -13,733,000    77,114,000  
      cash and cash equivalents at beginning of period
    		0 0 269,500,000 0 0 0 195,900,000 0 282,900,000 0 0 0 389,900,000                 144,507,000 0 69,699,000 0 0 0 57,933,000 0 
      cash and cash equivalents at end of period
    		-46,700,000 20,800,000 229,300,000 47,700,000 8,300,000 28,300,000 185,200,000 -40,100,000 245,500,000 128,100,000 -72,600,000 -151,500,000 378,900,000                 142,667,000 1,068,000 55,966,000 14,490,000 3,610,000 -83,448,000 135,047,000 1,085,000 
      net decrease in cash and cash equivalents
    		 20,800,000 -40,200,000    -10,700,000  -37,400,000                         3,610,000    
      other non-cash income
    		                                     
      medicare accelerated payments and deferred governmental grants
    		       0 -1,200,000 -4,700,000 -13,500,000 -22,200,000 -18,000,000 -25,100,000 -19,700,000 -21,600,000 -7,200,000 -5,800,000 16,300,000                   
      payment of premium on debt extinguishment
    		                      0               
      proceeds from equity offerings
    		                                     
      payments of equity offering costs
    		             -14,900,000 0 -100,000 -12,600,000                     
      proceeds (payments) related to ownership transactions with non-controlling interest holders
    		                                     
      supplemental cash flow information:
    		                                     
      interest paid, net of interest income received
    		                                     
      cash paid for income taxes
    		                                     
      non-cash purchases of property and equipment
    		                                     
      doj settlement payments
    		             0 0                       
      payments of preferred dividends
    		                         0 0 -3,886,000 -3,924,000         
      receipts (payments) related to ownership transactions with non-controlling interest holders
    		        5,100,000      -1,000,000 2,400,000 1,000,000       -300,000 1,500,000             
      net gain on disposals, consolidations and deconsolidations
    		        10,500,000                             
      loss on disposals and deconsolidations
    		         7,900,000 2,200,000    1,900,000      3,500,000    600,000 15,947,000 12,631,000           
      impairment charges
    		                 0                    
      payments related to ownership transactions with non-controlling interest holders
    		                 -100,000         -401,000           
      proceeds from equity offering
    		              0 0 260,900,000                     
      payment of preferred dividends
    		              0 0 -5,100,000                     
      (payments) receipts related to ownership transactions with non-controlling interest holders
    		          100,000 -900,000 -3,100,000       -1,500,000 -400,000        -782,000         
      gain on disposals and deconsolidations
    		            -100,000     -1,400,000 700,000                   
      gain on disposals
    		                                     
      income from equity investments, net of distributions received
    		             0 600,000 -200,000 -200,000 1,500,000 -800,000 -700,000 500,000 -200,000 400,000 -100,000 200,000 429,000 51,000 -559,000 322,000  626,000 -139,000 -708,000 473,000 -239,000 -372,000 -227,000 
      sale (purchase) of equity investments
    		                                     
      net increase in cash, cash equivalents and restricted cash
    		             59,500,000 -134,400,000 -77,100,000 223,700,000 -132,100,000 123,700,000 131,700,000 101,900,000     105,185,000            
      cash, cash equivalents and restricted cash at beginning of period
    		             0 0 0 318,200,000 0 0 0 93,000,000 0 0 0 184,600,000 0 0 0 175,229,000         
      cash, cash equivalents and restricted cash at end of period
    		             59,500,000 -134,400,000 -77,100,000 541,900,000 -132,100,000 123,700,000 131,700,000 194,900,000 -18,600,000 -6,100,000 -25,100,000 142,800,000 105,185,000 -16,946,000 -16,747,000 113,131,000         
      (gain) loss on disposals and deconsolidations
    		                -900,000     2,600,000 600,000               
      non-cash interest income
    		                   900,000 1,300,000 1,900,000 500,000 400,000 -300,000 -374,000 -387,000           
      purchase of equity investments
    		                                     
      repurchase of shares
    		                         0 0 0 -1,982,000         
      gain on legal settlements
    		                                     
      gain on amendment to tax receivable agreement
    		                                     
      tax receivable agreement benefit
    		                                     
      benefit from doubtful accounts
    		                          11,555,000 8,196,000 6,037,000 -7,773,000 5,788,000 5,675,000 8,281,000 8,514,000 3,544,000 3,873,000 7,529,000 
      proceeds from divestitures
    		                         1,139,000 7,800,000          0 
      penalty on prepayment of debt
    		                                0 0 0 -4,900,000  
      (payments) proceeds related to ownership transactions with non-controlling interest holders
    		                                     
      proceeds from preferred stock issuance
    		                                     
      payments of stock issuance costs
    		                                     
      amortization of right-of-use operating lease assets
    		                                     
      net decrease in cash, cash equivalents and restricted cash
    		                      -6,100,000 -25,100,000 -41,800,000   -16,747,000 -62,098,000         
      equity-based compensation
    		                        1,900,000 3,041,000 1,526,000 2,780,000 1,997,000 -386,000 1,435,000 634,000 695,000 691,000 502,000 133,000 6,223,000 
      loss on debt refinancing
    		                                 3,595,000 0 8,281,000  
      tax receivable agreement (benefit) expense
    		                                     
      financing lease obligation activity
    		                                     
      non-cash purchases of property and equipment under capital leases and financing activities
    		                            4,028,000         
      principal payments on financing lease obligations
    		                          -1,587,000           
      lender financing escrow fee
    		                                     
      other non-cash amortization
    		                            -127,000         
      loss on disposal or impairment of long-lived assets
    		                            47,000 -1,268,000        
      financing lease obligations
    		                            -1,506,000         
      amortization of debt issuance costs, discounts and premium
    		                                     
      amortization of unfavorable lease liability
    		                             135,000 -81,000 -81,000 -108,000 -107,000 -108,000 -108,000 -108,000 
      tax receivable agreement expense
    		                                0     
      (income) income from equity investments, net of distributions received
    		                                     
      financing lease obligation
    		                             326,000 -293,000 -286,000 -278,000 -256,000 -219,000 -171,000 -225,000 
      amortization of debt issuance costs and discounts
    		                              1,928,000 1,846,000 1,904,000 1,947,000 1,931,000 1,417,000 1,297,000 
      gain on disposal or impairment of long-lived assets
    		                               1,196,000 658,000 572,000    
      receipts related to ownership transactions with consolidated affiliates
    		                               154,000      
      restricted stock award vesting
    		                               -649,000      
      gain on legal settlement
    		                                     
      interest on contingent consideration obligation
    		                                     
      proceeds from initial public offering, net of offering costs
    		                                     
      payment of premium of debt extinguishment
    		                                     
      distribution to owners
    		                                     
      payments related to ownership transactions with consolidated affiliates
    		                                    -184,000 
      repurchase of units
    		                                     
      non-cash transactions:
    		                                     
      notes payable issued in connection with an acquisition
    		                                     
      increase in debt related to new capital lease obligations
    		                                     
      cash payments:
    		                                     
      share issuance costs
    		                                     
      receipts (payments) related to ownership transactions with consolidated affiliates
    		                                 532,000 479,000 94,000  
      (gain) loss on disposal or impairment of long-lived assets
    		                                   -206,000 -575,000 
      goodwill impairment
    		                                     
    The information provided in this report is taken from www.sec.gov and many other data providers. While we have conducted our best efforts to ensure that the parsed data is accurate, we cannot guarantee its accuracy. Please use caution and understand that any consequences of its use are your own responsibility.