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Interim Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) | 6 Months Ended
--- | ---
Jun. 30, 2024 | Jun. 30, 2023
Cash Flows From Operating Activities: |  |
Net income | $ 53,357,000 | $ 27,202,000
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 19,924,000 | 20,131,000
Equity in earnings of unconsolidated investments | (651,000) | (1,756,000)
Distributions from unconsolidated investments | 512,000 | 469,000
Unrealized gains on marketable equity securities | (23,523,000) | (6,036,000)
Realized (gains)/losses on sale of marketable securities | (350,000) | 561,000
Gain on sale of unconsolidated company | (1,024,000) | 0
Deferred income taxes | (6,041,000) | (1,197,000)
Stock–based compensation | 1,969,000 | 1,411,000
Changes in operating assets and liabilities: |  |
Accounts receivable | (842,000) | (1,274,000)
Inventories | 754,000 | 93,000
Prepaid expenses and other assets | 4,489,000 | (13,000)
Operating lease obligations | 120,000 | (623,000)
Trade accounts payable | 2,588,000 | (2,438,000)
Accrued payroll | (1,873,000) | (5,181,000)
Amounts due to third party payors | (151,000) | (972,000)
Accrued risk reserves | 5,995,000 | 3,751,000
Other current liabilities | 1,300,000 | 9,786,000
Other noncurrent liabilities | (8,328,000) | 6,870,000
Net cash provided by operating activities | 60,307,000 | 53,178,000
Cash Flows From Investing Activities: |  |
Purchases of property and equipment | (13,788,000) | (12,789,000)
Acquisition of skilled nursing facility | 0 | (2,700,000)
Proceeds from the sale of unconsolidated company | 2,100,000 | 0
Investments in notes receivable | (210,000) | (403,000)
Investments in unconsolidated companies | (4,856,000) | 0
Purchases of marketable securities | (18,898,000) | (14,406,000)
Proceeds from sale of marketable securities | 34,662,000 | 28,051,000
Net cash used in investing activities | (990,000) | (2,247,000)
Cash Flows From Financing Activities: |  |
Principal payments under finance lease obligations | (860,000) | (2,455,000)
Dividends paid to common stockholders | (18,137,000) | (17,481,000)
Issuance of common shares | 11,239,000 | 6,000
Repurchase of common shares | (11,402,000) | (2,482,000)
Entrance fee refunds | (520,000) | (479,000)
Net cash used in financing activities | (19,680,000) | (22,891,000)
Net Increase in Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | 39,637,000 | 28,040,000
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 | 165,605,000 | 102,905,000
Balance Sheet Classifications: |  |
Cash and cash equivalents | 136,214,000 | 78,492,000
Restricted Cash and Cash Equivalents | 29,391,000 | 24,413,000
Total Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | $ 165,605,000 | $ 102,905,000

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