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CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($) $ in Thousands | 6 Months Ended
--- | ---
Jun. 30, 2020 | Jun. 30, 2019
Cash flows from operating activities |  |
Net income | $ 83,988 | $ 8,214
Adjustments to reconcile net income to net cash provided by (used in) operating activities: |  |
Depreciation and amortization | 9,330 | 8,872
Amortization of debt issuance costs | 658 | 0
Provision for doubtful accounts | 0 | (1,363)
Share-based compensation | 1,910 | 676
Unrealized loss (gain) from investment in equity securities | 25 | (15)
(Income) loss from equity method investments | (2,888) | 892
Gain on sale of equity method investments | (99,647) | 0
Deferred tax | (4,473) | (549)
Changes in operating assets and liabilities, net of business combinations: |  |
Receivables, net | (6,284) | 588
Receivables, net – related parties | (11,191) | (12,665)
Other receivables | 966 | (11,897)
Prepaid expenses and other current assets | (873) | (2,740)
Right-of-use assets | 1,680 | 1,098
Other assets | (5,095) | (243)
Accounts payable and accrued expenses | (3,043) | 3,340
Fiduciary accounts payable | (174) | 260
Medical liabilities | 11,252 | (3,819)
Income taxes payable | 37,681 | (11,622)
Operating lease liabilities | (1,247) | (1,044)
Net cash provided by (used in) operating activities | 12,575 | (22,017)
Cash flows from investing activities |  |
Payments for business acquisition, net of cash acquired | 0 | (41,518)
Proceeds from repayment of loans receivable – related parties | 16,500 | 0
Advances on loans receivable | 0 | (6,425)
Purchases of marketable securities | (1,142) | (8)
Purchases of investment – equity method | (500) | (2,158)
Proceeds from sale of equity method investment | 52,743 | 0
Purchases of property and equipment | (451) | (378)
Dividend received | 0 | 240
Net cash provided by (used in) investing activities | 67,150 | (50,247)
Cash flows from financing activities |  |
Repayment of bank loan and lines of credit | 0 | (8,040)
Dividends paid | (30,187) | (10,942)
Repayment of term loan | (2,375) | 0
Payment of finance lease obligations | (61) | (50)
Proceeds from the exercise of stock options and warrants | 2,863 | 898
Repurchase of shares | (788) | (40)
Borrowings on line of credit | 0 | 39,600
Proceeds from common stock offering | 0 | 205
Net cash (used in) provided by financing activities | (30,548) | 21,631
Net increase (decrease) in cash, cash equivalents and restricted cash | 49,177 | (50,633)
Cash, cash equivalents and restricted cash, beginning of period | 104,010 | 107,637
Cash, cash equivalents and restricted cash, end of period | 153,187 | 57,004
Supplementary disclosures of cash flow information: |  |
Cash paid for income taxes | 0 | 16,700
Cash paid for interest | 2,623 | 439
Supplemental disclosures of non-cash investing and financing activities |  |
Deferred tax liability adjustment to goodwill | 0 | 8,355
Preferred shares received from sale of equity method investment | 36,179 | 0
Reconciliation of cash, cash equivalents, and restricted cash |  |
Cash and cash equivalents | 152,441 | 52,726
Restricted cash – non-current | 746 | 4,278
Total cash, cash equivalents, and restricted cash shown in the statement of cash flows | $ 153,187 | $ 57,004

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