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CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2020 | Sep. 30, 2019
Cash flows from operating activities |  |
Net income | $ 109,412 | $ 18,953
Adjustments to reconcile net income to net cash provided by (used in) operating activities: |  |
Depreciation and amortization | 14,004 | 13,793
Impairment of intangibles | 0 | 1,994
Amortization of debt issuance costs | 1,004 | 0
Provision for doubtful accounts | 0 | (1,363)
Share-based compensation | 2,558 | 1,006
Unrealized loss (gain) from investment in equity securities | 23 | (6)
Income from equity method investments | (3,291) | (1,162)
Gain on sale of equity method investments | (99,647) | 0
Gain on loan assumption | 0 | (2,250)
Deferred tax | (6,137) | (186)
Changes in operating assets and liabilities, net of business combinations: |  |
Receivables, net | (6,953) | 1,904
Receivables, net – related parties | 6,618 | 5,864
Other receivables | 12,898 | (13,719)
Prepaid expenses and other current assets | (1,804) | (2,914)
Right-of-use assets | 2,601 | 1,877
Other assets | (5,090) | (525)
Accounts payable and accrued expenses | 12,644 | 4,868
Fiduciary accounts payable | 1,958 | 196
Medical liabilities | (1,566) | (6,226)
Income taxes payable | 11,642 | (10,229)
Operating lease liabilities | (2,110) | (1,790)
Net cash provided by operating activities | 48,764 | 10,085
Cash flows from investing activities |  |
Payments for business acquisition, net of cash acquired | 0 | (49,403)
Proceeds from repayment of loans receivable – related parties | 16,500 | 0
Advances on loans receivable | 0 | (7,425)
Purchases of marketable securities | (1,793) | (20)
Purchases of investments – equity method | (500) | (2,949)
Proceeds from sale of equity method investment | 52,743 | 0
Purchases of property and equipment | (553) | (807)
Dividend received | 0 | 240
Net cash provided by (used in) investing activities | 66,397 | (60,364)
Cash flows from financing activities |  |
Repayment of bank loan and lines of credit | 0 | (52,640)
Dividends paid | (50,133) | (60,670)
Repayment of term loan | (7,125) | 0
Payment of finance lease obligations | (78) | (76)
Proceeds from the exercise of stock options and warrants | 6,552 | 2,400
Repurchase of shares | (1,559) | (40)
Borrowings on line of credit | 0 | 289,600
Proceeds from common stock offering | 0 | 755
Cost of debt and equity issuance costs | 0 | (5,622)
Net cash (used in) provided by financing activities | (52,343) | 173,707
Net increase in cash, cash equivalents and restricted cash | 62,818 | 123,428
Cash, cash equivalents and restricted cash, beginning of period | 104,010 | 107,637
Cash, cash equivalents and restricted cash, end of period | 166,828 | 231,065
Supplementary disclosures of cash flow information: |  |
Cash paid for income taxes | 37,900 | 17,900
Cash paid for interest | 6,961 | 1,000
Supplemental disclosures of non-cash investing and financing activities |  |
Deferred tax liability adjustment to goodwill | 0 | 11,540
Deferred tax liability adjustment related to warrant exercises | 473 | 0
APC stock issued in exchange for AMG | 0 | 414
Preferred shares received from sale of equity method investment | 36,179 | 0
Reconciliation of cash, cash equivalents, and restricted cash |  |
Cash and cash equivalents | 166,082 | 230,299
Restricted cash – non-current | 746 | 746
Total cash, cash equivalents, and restricted cash shown in the statement of cash flows | $ 104,010 | $ 231,065

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