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Interim Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) | 9 Months Ended
--- | ---
Sep. 30, 2024 | Sep. 30, 2023
Cash Flows From Operating Activities: |  |
Net income | $ 96,057,000 | $ 37,323,000
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 30,543,000 | 30,266,000
Equity in earnings of unconsolidated investments | (589,000) | (1,941,000)
Distributions from unconsolidated investments | 512,000 | 470,000
Unrealized gains on marketable equity securities | (56,290,000) | (2,943,000)
Realized (gains)/losses on sale of marketable securities | (331,000) | 603,000
Gain on sale of unconsolidated company | (1,024,000) | 0
Deferred income taxes | (15,559,000) | 1,059,000
Stock–based compensation | 3,062,000 | 2,119,000
Changes in operating assets and liabilities: |  |
Accounts receivable | (19,898,000) | (2,617,000)
Inventories | 598,000 | (285,000)
Prepaid expenses and other assets | 8,809,000 | 2,444,000
Operating lease obligations | 193,000 | (936,000)
Trade accounts payable | 3,530,000 | (487,000)
Accrued payroll | 1,989,000 | (2,791,000)
Amounts due to third party payors | 446,000 | (1,043,000)
Accrued risk reserves | 6,945,000 | 5,656,000
Other current liabilities | 12,434,000 | 14,035,000
Other noncurrent liabilities | (8,031,000) | 6,669,000
Net cash provided by operating activities | 94,514,000 | 85,483,000
Cash Flows From Investing Activities: |  |
Purchases of property and equipment | (19,444,000) | (19,300,000)
Proceeds from the sale of unconsolidated company | 2,100,000 | 0
Investments in notes receivable | (75,000) | (197,000)
Investments in unconsolidated companies | (8,370,000) | 0
Purchases of marketable securities | (24,736,000) | (21,763,000)
Proceeds from sale of marketable securities | 39,776,000 | 36,578,000
Net cash used in investing activities | (225,048,000) | (7,382,000)
Cash Flows From Financing Activities: |  |
Borrowings under credit facility | 150,000,000 | 0
Repayments under credit facility | (3,000,000) | 0
Principal payments under finance lease obligations | (860,000) | (3,711,000)
Dividends paid to common stockholders | (27,545,000) | (26,520,000)
Noncontrolling interest contributions | 1,389,000 | 0
Issuance of common shares | 13,471,000 | 260,000
Repurchase of common shares | (13,502,000) | (2,482,000)
Entrance fee refunds | (313,000) | (258,000)
Net cash provided by/(used in) financing activities | 119,640,000 | (32,711,000)
Net Increase/(Decrease) in Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | (10,894,000) | 45,390,000
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 | 115,074,000 | 120,255,000
Balance Sheet Classifications: |  |
Cash and cash equivalents | 84,807,000 | 100,308,000
Restricted Cash and Cash Equivalents | 30,267,000 | 19,947,000
Total Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | 115,074,000 | 120,255,000
White Oak Senior Living [Member] |  |
Cash Flows From Investing Activities: |  |
Acquisition of White Oak Senior Living, net of cash acquired | (215,896,000) | 0
Other Business Acquisitions [Member] |  |
Cash Flows From Investing Activities: |  |
Acquisition of other businesses, net of cash acquired | $ 2,097,000 | $ (2,700,000)

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