Financial Performance - Fourth Quarter Revenue was 478.8million,a6.125.7 million, significantly improved from a net loss of 237.8millioninQ42022[3]−AdjustedEBITDAforQ42023was38.7 million, a 30.4% increase compared to the prior year quarter[4] - Full Year 2023 Revenue was 1,895.2million,a6.01,787.6 million in 2022[5] - Adjusted EBITDA for Fiscal Year 2023 was 139.2million,a7.6129.3 million in 2022[6] - Revenue for the three-month period ended December 30, 2023, was 478,841thousand,representinga6.1451,147 thousand for the same period in 2022[28] - Net loss for the three-month period ended December 30, 2023, was (25,736)thousand,comparedtoanetlossof(237,779) thousand for the same period in 2022[28] - Adjusted EBITDA for the three-month period ended December 30, 2023, was 38,663thousand,upfrom29,658 thousand in the same period of 2022, indicating a year-over-year increase of 30.7%[39] Gross Margin and Profitability - Gross margin increased 15.3% to 148.4million,representing31.0595,432 thousand, with a gross margin percentage of 31.4%, up from 30.9% in the previous year[31] - The company reported a field contribution margin of 12.4% for the fiscal year ended December 30, 2023, compared to 11.0% in the previous year[31] - Gross margin for the same period was 423,720,reflectinganincreaseof31,255 or 8.0% from 392,465intheprioryear[35]−Thegrossmarginpercentageimprovedto27.943.9 million and bank debt of 1,469.8million[7]−Freecashflowforyear−to−date2023was12.5 million[7] - Cash and cash equivalents at the end of the period were 43,942thousand,upfrom19,217 thousand at the beginning of the period[26] - The company reported a free cash flow of 12,505thousandforthefiscalyearendedDecember30,2023[44]−ThenetcashprovidedbyoperationsforthefiscalyearendedDecember30,2023,was22,672 thousand[44] - Total indebtedness as of December 30, 2023, was 1,469,750thousand,witha2021ExtendedTermLoanof899,750 thousand and a Second Lien Term Loan of 415,000thousand[27]CorporateStrategyandOperations−Thecompanyisfocusingonenhancingpayorpartnershipstoinvestincaregiversandexpandpatientcare[2]−Thecompanyanticipatescontinuedgrowththrougheffectiveexecutionofitsgrowthstrategy,includingorganicgrowthandacquisitions[22]−Uniquepatientsservedincreasedto348,upby28or8.83,032, an increase of 45or1.52,987 in the previous year[35] Corporate Expenses - Corporate expenses for the three-month period ended December 30, 2023, decreased by 11.2% to 28,299thousandfrom31,880 thousand in the same period last year[30] - Corporate expenses for the three-month period ended December 30, 2023, were 4,760thousand,downfrom7,227 thousand in the same period of 2022[43] Goodwill and Adjustments - Goodwill impairment for the three-month period ended December 30, 2023, was 205,139thousand,comparedto105,136 thousand for the fiscal year ended December 31, 2022[43] - Total adjustments for the three-month period ended December 30, 2023, amounted to 27,359thousand,comparedto230,597 thousand for the same period in 2022, reflecting a decrease of 88.2%[39] - The company reported an adjusted net loss income of 3,177thousandforthethree−monthperiodendedDecember30,2023,comparedtoanadjustednetlossincomeof6,409 thousand for the same period in 2022[40]