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Interim Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) | 9 Months Ended
--- | ---
Sep. 30, 2025 | Sep. 30, 2024
Cash Flows From Operating Activities: |  |
Net income | $ 97,412,000 | $ 96,057,000
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 33,151,000 | 30,543,000
Equity in earnings of unconsolidated investments | (512,000) | (589,000)
Distributions from unconsolidated investments | 616,000 | 512,000
Unrealized gains on marketable equity securities | (26,748,000) | (56,290,000)
Realized gains on sale of marketable securities | (872,000) | (331,000)
Gain on sale of unconsolidated company | 0 | (1,024,000)
Gain on sale of property and equipment | (3,606,000) | 0
Deferred income taxes | (2,600,000) | (15,559,000)
Stock–based compensation | 3,499,000 | 3,062,000
Changes in operating assets and liabilities: |  |
Accounts receivable | 2,877,000 | (19,898,000)
Inventories | 1,195,000 | 598,000
Prepaid expenses and other assets | 2,582,000 | 8,809,000
Operating lease obligations | 524,000 | 193,000
Trade accounts payable | (2,926,000) | 3,530,000
Accrued payroll | 17,272,000 | 1,989,000
Amounts due to third party payors | (291,000) | 446,000
Accrued risk reserves | 10,416,000 | 6,945,000
Other current liabilities | 30,250,000 | 12,434,000
Other noncurrent liabilities | 832,000 | (8,031,000)
Net cash provided by operating activities | 168,271,000 | 94,514,000
Cash Flows From Investing Activities: |  |
Purchases of property and equipment | (26,049,000) | (19,444,000)
Proceeds from the sale of unconsolidated company | 0 | 2,100,000
Collections of (investments in) notes receivable | 512,000 | (75,000)
Investments in unconsolidated companies | (3,123,000) | (8,370,000)
Purchases of marketable securities | (56,953,000) | (24,736,000)
Proceeds from sale of marketable securities | 64,689,000 | 39,776,000
Net cash used in investing activities | (20,924,000) | (225,048,000)
Cash Flows From Financing Activities: |  |
Borrowings under credit facility | 0 | 150,000,000
Repayments under credit facility | (63,875,000) | (3,000,000)
Principal payments under finance lease obligations | 0 | (860,000)
Dividends paid to common stockholders | (28,773,000) | (27,545,000)
Noncontrolling interest contributions | 0 | 1,389,000
Issuance of common shares | 9,415,000 | 13,471,000
Repurchase of common shares | (9,566,000) | (13,502,000)
Entrance fee deposits (refunds) | 64,000 | (313,000)
Net cash (used in)/provided by financing activities | (92,735,000) | 119,640,000
Net Increase/(Decrease) in Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | 54,612,000 | (10,894,000)
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 | 151,534,000 | 115,074,000
Balance Sheet Classifications: |  |
Cash and cash equivalents | 130,629,000 | 84,807,000
Restricted Cash and Cash Equivalents | 20,905,000 | 30,267,000
Total Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | 151,534,000 | 115,074,000
White Oak Senior Living [Member] |  |
Cash Flows From Investing Activities: |  |
Acquisition of White Oak Senior Living, net of cash acquired | 0 | (215,896,000)
Other Business Acquisitions [Member] |  |
Cash Flows From Investing Activities: |  |
Acquisition of White Oak Senior Living, net of cash acquired | $ 0 | $ 2,097,000

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