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Interim Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) | 3 Months Ended
--- | ---
Mar. 31, 2024 | Mar. 31, 2023
Cash Flows From Operating Activities: |  |
Net income | $ 26,251,000 | $ 11,285,000
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 10,586,000 | 10,048,000
Equity in earnings of unconsolidated investments | (67,000) | (1,535,000)
Unrealized gains on marketable equity securities | (14,399,000) | (1,386,000)
(Gains)/losses on sale of marketable securities | (344,000) | 492,000
Gain on sale of unconsolidated company | (1,024,000) | 0
Deferred income taxes | (2,484,000) | (331,000)
Stock–based compensation | 793,000 | 639,000
Changes in operating assets and liabilities: |  |
Accounts receivable | (17,119,000) | (3,148,000)
Inventories | 623,000 | 142,000
Prepaid expenses and other assets | 3,153,000 | 1,957,000
Operating lease obligations | 55,000 | (316,000)
Trade accounts payable | 1,503,000 | (4,018,000)
Accrued payroll | (19,954,000) | (15,800,000)
Amounts due to third party payors | 1,619,000 | 48,000
Accrued risk reserves | 4,978,000 | 3,157,000
Contract liabilities | 7,667,000 | 0
Other current liabilities | 1,311,000 | 5,407,000
Other noncurrent liabilities | 1,530,000 | 6,554,000
Net cash provided by operating activities | 9,646,000 | 13,857,000
Cash Flows From Investing Activities: |  |
Purchases of property and equipment | (5,955,000) | (6,640,000)
Proceeds from sale of unconsolidated company | 2,100,000 | 0
Investments in unconsolidated companies | (1,488,000) | 0
Collections of notes receivable | 16,000 | 2,000
Purchases of marketable securities | (8,703,000) | (10,281,000)
Proceeds from sale of marketable securities | 11,615,000 | 15,492,000
Net cash used in investing activities | (2,415,000) | (1,427,000)
Cash Flows From Financing Activities: |  |
Principal payments under finance lease obligations | (860,000) | (1,218,000)
Dividends paid to common stockholders | (9,051,000) | (8,748,000)
Issuance of common stock | 8,412,000 | 0
Repurchase of common shares | (9,900,000) | (2,482,000)
Entrance fee refunds | (668,000) | (171,000)
Net cash used in financing activities | (12,067,000) | (12,619,000)
Net Decrease in Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | (4,836,000) | (189,000)
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Beginning of Period | 125,968,000 | 74,865,000
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, End of Period | 121,132,000 | 74,676,000
Balance Sheet Classifications: |  |
Cash and cash equivalents | 93,982,000 | 46,144,000
Restricted Cash and Cash Equivalents | 27,150,000 | 28,532,000
Total Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | $ 121,132,000 | $ 74,676,000

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