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v3.20.1

CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2020 | Mar. 31, 2019
Cash flows from operating activities |  |
Net income (loss) | $ 2,987 | $ (2,450)
Adjustments to reconcile net income (loss) to net cash used in operating activities: |  |
Depreciation and amortization | 5,010 | 4,418
Provision for doubtful accounts | 0 | 951
Share-based compensation | 1,058 | 345
Unrealized gain from investment in equity securities | (162) | (8)
(Income) loss from equity method investments | (2,054) | 850
Deferred tax | (1,915) | (2,623)
Changes in operating assets and liabilities, net of business combinations: |  |
Receivable, net | (7,043) | 487
Receivable, net – related parties | (2,774) | (7,511)
Other receivables | 521 | (11,245)
Prepaid expenses and other current assets | (1,495) | (729)
Right-of-use assets | 794 | 448
Other assets | (4,801) | (443)
Accounts payable and accrued expenses | (7,173) | 22,579
Fiduciary accounts payable | (318) | 546
Medical liabilities | 4,973 | (10,376)
Income taxes payable | 3,505 | 1,210
Operating lease liabilities | (406) | (416)
Net cash used in operating activities | (9,293) | (3,967)
Cash flows from investing activities |  |
Purchases of marketable securities | (374) | (8)
Purchases of investment – equity method | (300) | 0
Purchases of property and equipment | (269) | (104)
Net cash used in investing activities | (943) | (112)
Cash flows from financing activities |  |
Repayment of bank loan and lines of credit | 0 | (40)
Dividends paid | (9,934) | (10,000)
Repayment of term loan | (2,375) | 0
Payment of finance lease obligations | (26) | (25)
Proceeds from the exercise of stock options and warrants | 700 | 140
Repurchase of shares | (426) | (40)
Proceeds from common stock offering | 0 | 155
Net cash used in financing activities | (12,061) | (9,810)
Net decrease in cash, cash equivalents and restricted cash | (22,297) | (13,889)
Cash, cash equivalents and restricted cash, beginning of period | 104,010 | 107,637
Cash, cash equivalents and restricted cash, end of period | 81,713 | 93,748
Supplementary disclosures of cash flow information: |  |
Cash paid for interest | 2,619 | 182
Reconciliation of cash, cash equivalents, and restricted cash |  |
Cash and cash equivalents | 80,892 | 93,008
Restricted cash – current | 75 | 0
Restricted cash – non-current | 746 | 740
Total cash, cash equivalents and restricted cash shown in the statement of cash flows | $ 81,713 | $ 93,748

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