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v3.8.0.1

Consolidated Statements of Cash Flows - USD ($) | 12 Months Ended
--- | ---
Dec. 31, 2017 | Dec. 31, 2016
Cash flows from operating activities |  |
Net income | $ 45,824,328 | $ 10,019,797
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 19,075,353 | 18,114,440
Impairment of goodwill and intangibles | 2,431,791 | 324,306
Share-based compensation | 2,743,116 | 1,954,238
Unrealized gain from investment in equity securities | (86,005) | 0
Gain on settlement of preexisting note receivable from ApolloMed | (921,938) | 0
Gain from investments - fair value adjustments | (13,697,018) | 0
Change in fair value of derivative instrument | 44,886 | (1,722,221)
Loss (income) from equity method investments | 1,112,541 | (4,748,542)
Deferred tax | (20,675,807) | (3,009,779)
Changes in operating assets and liabilities, net of acquisition amounts: |  |
Change in restricted cash | 95,456 | (756)
Receivable, net | 10,702,753 | 8,703,162
Prepaid expenses and other current assets | 1,260,064 | (172,311)
Other assets | (220,925) | (63,353)
Accounts payable and accrued expenses | (3,687,022) | 1,927,121
Capitation incentives payable | 1,878,355 | 5,182,665
Medical liabilities | 5,661,313 | 2,945,946
Income taxes payable | 388,138 | (17,540,939)
Net cash provided by operating activities | 51,929,379 | 21,913,774
Cash flows from investing activities |  |
Cash acquired in the Merger | 36,367,555 | 0
Cash received from consolidation of VIE | 228,287 | 0
Purchases of marketable securities | (5,283) | (10,447)
Restricted cash | (18,000,000) | 0
Proceeds from loans receivable | 200,000 | 0
Advances on loans receivable | (10,000,000) | 0
Advances to related parties - loans receivable | 0 | (200,000)
Dividends received from equity method investments | 1,240,000 | 2,000,000
Proceeds on sale of investments - cost method | 25,000 | 0
Purchases of investments - cost method | 0 | (5,000,000)
Purchases of investments - equity method | 0 | (2,440,000)
Purchases of property and equipment | (2,084,770) | (3,306,294)
Net cash provided by (used in) investing activities | 7,970,789 | (8,956,741)
Cash flows from financing activities |  |
Repayment of loan payable - related party | 0 | (600,000)
Dividends paid | (10,447,923) | (26,659,119)
Change in noncontrolling interest capital | 0 | 1,124,320
Borrowings on line of credit | 5,000,000 | 0
Advances by NMM to ApolloMed prior to the Merger | (9,000,000) | 0
Principal payments on bank loan | 0 | (1,477,561)
Payment of capital lease obligations | (102,348) | (181,008)
Proceeds from exercise of stock options included in liabilities | 425,025 | 0
Proceeds from exercise of stock options | 164,797 | 260,000
Proceeds from common stock offering | 2,160,736 | 10,903,700
Repurchase of common shares | (3,175,836) | (517,500)
Net cash used in financing activities | (14,975,549) | (17,147,168)
Net increase (decrease) in cash and cash equivalents | 44,924,619 | (4,190,135)
Cash and cash equivalents, beginning of year | 54,824,580 | 59,014,715
Cash and cash equivalents, end of year | 99,749,199 | 54,824,580
Supplemental disclosures of cash flow information |  |
Cash paid for income taxes | 24,362,223 | 29,366,184
Cash paid for interest | 51,043 | 61,589
Supplemental disclosures of non-cash investing and financing activities |  |
Stock issued in connection with acquisitions | 0 | 5,155,000
Deferred tax liability adjusted to goodwill | 0 | 977,817
Equipment purchased with capital lease | 0 | 186,092
Dividends declared included in dividends payable and restricted cash | 18,000,000 | 0
Distribution of warrants to former NMM shareholders | 5,294,000 | 0
Issuance of common stock upon conversion of debt and accrued interest | 5,376,215 | 0
Reclassification of liability for unissued common shares payable to equity | 1,237,650 | 0
Reclassification of fiduciary cash to payable | 966,698 | 1,313,395
Unvested Stock Compensation [Member] |  |
Supplemental disclosures of non-cash investing and financing activities |  |
Non-cash purchase consideration for acquisition | 187,333 | 0
Preferred Stock [Member] |  |
Supplemental disclosures of non-cash investing and financing activities |  |
Non-cash purchase consideration for acquisition | 19,118,000 | 0
Equity [Member] |  |
Supplemental disclosures of non-cash investing and financing activities |  |
Non-cash purchase consideration for acquisition | 61,092,050 | 0
Network Medical Management, Inc. [Member] |  |
Supplemental disclosures of non-cash investing and financing activities |  |
Non-cash purchase consideration for acquisition | $ 5,129,000 | $ 0

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- Definition The fair value of liabilities assumed in noncash investing or financing activities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=98513485&loc=d3e4332-108586 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=98513485&loc=d3e4313-108586 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=98513485&loc=d3e4304-108586 + Details
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- Definition Amount of noncash consideration received for selling an asset or business through a noncash (or part noncash) transaction. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=98513485&loc=d3e4313-108586 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=98513485&loc=d3e4332-108586 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=98513485&loc=d3e4304-108586 + Details
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- Definition Cash outflow in the form of capital distributions and dividends to common shareholders, preferred shareholders and noncontrolling interests. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3291-108585 + Details
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