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v3.22.1

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2022 | Mar. 31, 2021
Cash flows from operating activities |  |
Net income | $ 12,073 | $ 14,458
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 4,374 | 4,197
Amortization of debt issuance cost | 237 | 351
Share-based compensation | 3,055 | 1,346
Unrealized loss (gain) from investment in equity securities | 10,556 | (9)
(Income) loss from equity method investments | (1,433) | 677
Unrealized gain on interest rate swaps | (1,593) | 0
Deferred tax | 1,985 | (921)
Changes in operating assets and liabilities, net of business combinations: |  |
Receivables, net | (44,673) | (9,390)
Receivables, net – related parties | (6,865) | (17,612)
Other receivables | (3,613) | (223)
Prepaid expenses and other current assets | 4,171 | 7,165
Right-of-use assets | 672 | 836
Other assets | 2,016 | (192)
Accounts payable and accrued expenses | 3,735 | 3,915
Fiduciary accounts payable | (4,229) | (2,771)
Medical liabilities | 39,974 | 1,149
Income taxes payable | 4,241 | 7,835
Operating lease liabilities | (645) | (859)
Net cash provided by operating activities | 24,038 | 9,952
Cash flows from investing activities |  |
Payments for business acquisition, net of cash acquired and shares issued | (999) | 0
Proceeds from repayment of loans receivable – related parties | 19 | 16
Purchases of marketable securities | (21) | (332)
Purchases of property and equipment | (17,489) | (98)
Proceeds from sale of marketable securities | 0 | 1,106
Distribution from investment - equity method | 200 | 0
Contribution to investment - equity method | (1,435) | 0
Net cash (used in) provided by investing activities | (19,725) | 692
Cash flows from financing activities |  |
Dividends paid | (1,178) | (4)
Repayment of long-term debt | (52) | (2,434)
Payment of finance lease obligations | (141) | (27)
Proceeds from the exercise of stock options and warrants | 1,573 | 4,256
Repurchase of shares | (230) | (342)
Distribution to non-controlling interest | 0 | (225)
Proceeds from sale of non-controlling interest | 38 | 38
Purchase of non-controlling interest | (200) | 0
Borrowings on loans | 722 | 0
Net cash provided by financing activities | 532 | 1,262
Net increase in cash, cash equivalents, and restricted cash | 4,845 | 11,906
Cash, cash equivalents, and restricted cash, beginning of period | 233,097 | 193,970
Cash, cash equivalents, and restricted cash, end of period | 237,942 | 205,876
Supplementary disclosures of cash flow information: |  |
Cash paid for income taxes | 0 | 40
Cash paid for interest | 845 | 1,277
Supplemental disclosures of non-cash investing and financing activities |  |
Fixed asset obtained in exchange for finance lease liabilities | 398 | 0
Common stock issued in business combination | 1,000 | 0
Reconciliation of cash, cash equivalents, and restricted cash |  |
Cash and cash equivalents | 237,942 |
Cash, cash equivalents, restricted cash total | $ 237,942 | $ 205,876

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- Definition The cash outflow associated with the purchase of or advances to an equity method investments, which are investments in joint ventures and entities in which the entity has an equity ownership interest normally of 20 to 50 percent and exercises significant influence. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3213-108585 + Details
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