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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 6 Months Ended
--- | ---
Jun. 30, 2022 | Jun. 30, 2021
Cash flows from operating activities |  |
Net income | $ 22,664 | $ 73,988
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 8,725 | 8,434
Amortization of debt issuance cost | 474 | 741
Share-based compensation | 6,975 | 2,902
Gain on sale of equity securities | (2,272) | 0
Unrealized loss (gain) from investment in equity securities | 13,659 | (83,769)
(Income) loss from equity method investments | (2,945) | 3,812
Impairment of beneficial interest | 0 | 15,723
Unrealized (gain) loss on interest rate swaps | (2,830) | 1,195
Deferred tax | 2,706 | 10,283
Other | 0 | 189
Changes in operating assets and liabilities, net of business combinations: |  |
Receivables, net | (56,202) | (9,975)
Receivables, net – related parties | (12,151) | (19,508)
Other receivables | (3,580) | (266)
Prepaid expenses and other current assets | 4,109 | 4,613
Right-of-use assets | 2,290 | 1,646
Other assets | 1,790 | (426)
Accounts payable and accrued expenses | 14,181 | 16,984
Fiduciary accounts payable | (4,464) | (550)
Medical liabilities | 55,106 | 8,977
Income taxes payable | (13,292) | (2,009)
Operating lease liabilities | (2,254) | (1,698)
Other long-term liabilities | 370 | 0
Net cash provided by operating activities | 33,059 | 31,286
Cash flows from investing activities |  |
Payments for business acquisition, net of cash acquired | (858) | (117)
Proceeds from repayment of loans receivable – related parties | 4,030 | 31
Prepayment for investment purchase | 0 | (4,450)
Purchase of marketable securities | (1,750) | (670)
Purchase of investment – equity method | 0 | (1,660)
Purchases of property and equipment | (18,845) | (7,364)
Cash received from consolidation of VIE | 0 | 3,322
Proceeds from sale of marketable securities | 6,480 | 1,106
Distribution from investment - equity method | 400 | 0
Contribution to investment - equity method | (1,685) | 0
Net cash used in investing activities | (12,228) | (9,802)
Cash flows from financing activities |  |
Dividends paid | (12,556) | (21,110)
Repayment of long-term debt | (200) | (238,208)
Payment of finance lease obligations | (283) | (54)
Proceeds from the exercise of stock options and warrants | 1,738 | 4,816
Repurchase of shares | (9,480) | (2,981)
Proceeds from sale of non-controlling interest | 38 | 38
Purchase of non-controlling interest | (199) | (75)
Borrowings on loans | 1,237 | 180,000
Proceeds from sale of shares | 0 | 40,134
Payment of debt issuance costs | 0 | (727)
Net cash used in financing activities | (19,705) | (38,167)
Net increase (decrease) in cash, cash equivalents, and restricted cash | 1,126 | (16,683)
Cash, cash equivalents, and restricted cash, beginning of period | 233,097 | 193,970
Cash, cash equivalents, and restricted cash, end of period | 234,223 | 177,287
Supplementary disclosures of cash flow information |  |
Cash paid for income taxes | 22,311 | 23,324
Cash paid for interest | 2,231 | 2,507
Supplemental disclosures of non-cash investing and financing activities |  |
Dividend declared included in dividend payable | 0 | 50
Fixed asset obtained in exchange for finance lease liabilities | 398 | 0
Common stock issued in business combination | 1,000 | 0
Cancellation of restricted stock awards | 0 | 144
Mortgage loan | 16,275 | 0
Reconciliation of cash, cash equivalents, and restricted cash |  |
Cash and cash equivalents | 234,223 |
Cash, cash equivalents, restricted cash total | $ 234,223 | $ 177,287

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- Definition The fair value of stock issued in noncash financing activities. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 3 -URI https://asc.fasb.org/extlink&oid=126999549&loc=d3e4304-108586 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 5 -URI https://asc.fasb.org/extlink&oid=126999549&loc=d3e4332-108586 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 4 -URI https://asc.fasb.org/extlink&oid=126999549&loc=d3e4313-108586 + Details
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- References No definition available. + Details
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- Definition The net change in the difference between the fair value and the carrying value, or in the comparative fair values, of derivative instruments, including options, swaps, futures, and forward contracts, held at each balance sheet date, that was included in earnings for the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=126954810&loc=d3e3602-108585 + Details
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