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v3.25.1

Interim Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Cash Flows From Operating Activities: |  |
Net income | $ 32,290,000 | $ 26,251,000
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 10,978,000 | 10,586,000
Equity in earnings of unconsolidated investments | 0 | (67,000)
Unrealized gains on marketable equity securities | (10,982,000) | (14,399,000)
Gains on sale of marketable securities | (241,000) | (344,000)
Gain on sale of unconsolidated company | 0 | (1,024,000)
Deferred income taxes | (1,356,000) | (2,484,000)
Stock–based compensation | 1,027,000 | 793,000
Changes in operating assets and liabilities: |  |
Accounts receivable | (6,416,000) | (17,119,000)
Inventories | 960,000 | 623,000
Prepaid expenses and other assets | 445,000 | 3,153,000
Operating lease obligations | 175,000 | 55,000
Trade accounts payable | (3,847,000) | 1,503,000
Accrued payroll | 3,541,000 | (19,954,000)
Amounts due to third party payors | (1,454,000) | 1,619,000
Accrued risk reserves | 4,581,000 | 4,978,000
Contract liabilities | 0 | 7,667,000
Other current liabilities | 5,919,000 | 1,311,000
Other noncurrent liabilities | 923,000 | 1,530,000
Net cash provided by operating activities | 39,255,000 | 9,646,000
Cash Flows From Investing Activities: |  |
Purchases of property and equipment | (6,137,000) | (5,955,000)
Proceeds from sale of unconsolidated company | 0 | 2,100,000
Investments in unconsolidated companies | (2,419,000) | (1,488,000)
Collections of notes receivable | 7,000 | 16,000
Purchases of marketable securities | (11,062,000) | (8,703,000)
Proceeds from sale of marketable securities | 12,288,000 | 11,615,000
Net cash used in investing activities | (7,323,000) | (2,415,000)
Cash Flows From Financing Activities: |  |
Repayments under credit facility | (3,000,000) | 0
Principal payments under finance lease obligations | 0 | (860,000)
Dividends paid to common stockholders | (9,420,000) | (9,051,000)
Issuance of common stock | 1,278,000 | 8,412,000
Repurchase of common shares | (1,722,000) | (9,900,000)
Entrance fee deposits (refunds) | 171,000 | (668,000)
Net cash used in financing activities | (12,693,000) | (12,067,000)
Net Increase/(Decrease) in Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | 19,239,000 | (4,836,000)
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Beginning of Period | 96,922,000 | 125,968,000
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, End of Period | 116,161,000 | 121,132,000
Balance Sheet Classifications: |  |
Cash and cash equivalents | 90,386,000 | 93,982,000
Restricted Cash and Cash Equivalents | 25,775,000 | 27,150,000
Total Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | $ 116,161,000 | $ 121,132,000

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