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v3.22.2.2

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2022 | Sep. 30, 2021
Cash flows from operating activities |  |
Net income | $ 50,060 | $ 68,603
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 13,480 | 13,105
Amortization of debt issuance cost | 703 | 900
Share-based compensation | 10,477 | 4,322
Gain on sale of investments | (2,272) | (2,193)
Unrealized loss (gain) on investments | 21,894 | (22,826)
(Income) loss from equity method investments | (4,397) | 3,680
Impairment of beneficial interest | 0 | 15,723
Unrealized (gain) loss on interest rate swaps | (4,302) | 1,069
Deferred tax | (2,330) | 6,847
Other | 901 | 189
Changes in operating assets and liabilities, net of business combinations: |  |
Receivables, net | (58,325) | (10,686)
Receivables, net – related parties | (21,832) | (4,367)
Other receivables | (31,988) | (1,477)
Prepaid expenses and other current assets | 3,228 | 5,064
Right-of-use assets | 2,843 | 2,440
Other assets | (682) | (954)
Accounts payable and accrued expenses | 765 | 14,362
Fiduciary accounts payable | (4,029) | (815)
Medical liabilities | 37,491 | (7,633)
Income taxes payable | (14,555) | (300)
Operating lease liabilities | (3,059) | (2,528)
Other long-term liabilities | 3,118 | 0
Net cash (used in) provided by operating activities | (2,811) | 82,525
Cash flows from investing activities |  |
Payments for business acquisition, net of cash acquired | (5,614) | (2,575)
Proceeds from repayment of loans receivable – related parties | 4,051 | 41
Purchase of marketable securities | (1,750) | (1,009)
Purchase of investment – equity method | 0 | (13,384)
Proceeds from sale of equity method investment | 0 | 6,375
Purchases of property and equipment | (22,054) | (16,420)
Cash received from consolidation of VIE | 0 | 3,322
Proceeds from sale of marketable securities | 6,438 | 1,106
Distribution from investment - equity method | 400 | 0
Contribution to investment - equity method | (1,785) | 0
Net cash used in investing activities | (20,314) | (22,544)
Cash flows from financing activities |  |
Dividends paid | (12,676) | (31,089)
Repayment of long-term debt | (3,714) | (238,254)
Payment of finance lease obligations | (417) | (81)
Proceeds from the exercise of stock options and warrants | 2,784 | 6,601
Repurchase of shares | (9,648) | (5,739)
Proceeds from sale of non-controlling interest | 67 | 48
Purchase of non-controlling interest | (4,338) | (75)
Borrowings on loans | 1,986 | 180,000
Proceeds from sale of shares | 0 | 40,133
Payment of debt issuance costs | 0 | (727)
Net cash used in financing activities | (25,956) | (49,183)
Net (decrease) increase in cash, cash equivalents and restricted cash | (49,081) | 10,798
Cash, cash equivalents, and restricted cash, beginning of period | 233,097 | 193,970
Cash, cash equivalents, and restricted cash, end of period | 184,016 | 204,768
Supplementary disclosures of cash flow information |  |
Cash paid for income taxes | 41,811 | 24,800
Cash paid for interest | 4,386 | 3,330
Supplemental disclosures of non-cash investing and financing activities |  |
Dividend declared included in dividend payable | 0 | 71
Deferred tax liability adjustment to goodwill | 0 | 1,786
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 | 334
Mortgage loan | 16,275 | 0
Cashless exercise of warrants | 694 | 0
Reconciliation of cash, cash equivalents, and restricted cash |  |
Cash and cash equivalents | 184,016 |
Total cash, cash equivalents, and restricted cash shown in the statement of cash flows | $ 184,016 | $ 204,768

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