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v3.23.1

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2023 | Mar. 31, 2022
Cash flows from operating activities |  |
Net income | $ 14,307 | $ 12,073
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 4,292 | 4,374
Amortization of debt issuance cost | 237 | 237
Share-based compensation | 3,445 | 3,055
Unrealized loss on investments | 5,755 | 10,556
Income from equity method investments | (2,484) | (1,433)
Unrealized loss (gain) on interest rate swaps | 637 | (1,593)
Deferred tax | 790 | 1,985
Changes in operating assets and liabilities, net of business combinations: |  |
Receivables, net | (26,373) | (44,673)
Receivables, net – related parties | (9,730) | (6,865)
Other receivables | (94) | (3,613)
Prepaid expenses and other current assets | (506) | 4,171
Right-of-use assets | 2,013 | 672
Other assets | (23) | 2,016
Accounts payable and accrued expenses | (4,517) | 3,735
Fiduciary accounts payable | 911 | (4,229)
Medical liabilities | 17,141 | 39,974
Income taxes payable | 4,007 | 4,241
Operating lease liabilities | (2,088) | (645)
Net Cash Provided by (Used in) Operating Activities, Total | 7,720 | 24,038
Cash flows from investing activities |  |
Payments for business acquisition, net of cash acquired | 0 | (999)
Proceeds from repayment of loans receivable – related parties | 2,141 | 19
Purchase of marketable securities | (1,000) | (21)
Purchase of investment – equity method | (325) | 0
Purchases of property and equipment | (6,027) | (17,489)
Deposit for purchase of property | (8,824) | 0
Distribution from investment - equity method | 0 | 200
Contribution to investment - equity method | 0 | (1,435)
Net cash used in investing activities | (14,035) | (19,725)
Cash flows from financing activities |  |
Dividends paid | (120) | (1,178)
Repayment of long-term debt | (153) | (52)
Payment of finance lease obligations | (154) | (141)
Proceeds from the exercise of stock options and warrants | 1,250 | 1,573
Repurchase of shares | 0 | (230)
Repurchase of treasury shares | (9,539) | 0
Proceeds from sale of non-controlling interest | 0 | 38
Purchase of non-controlling interest | 0 | (200)
Borrowings on loans | 1,617 | 722
Net cash (used in) provided by financing activities | (7,099) | 532
Net (decrease) increase in cash and cash equivalents | (13,414) | 4,845
Cash and cash equivalents beginning of period | 288,027 | 233,097
Cash and cash equivalents end of period | 274,613 | 237,942
Supplementary disclosures of cash flow information |  |
Cash paid for interest | 2,991 | 845
Supplemental disclosures of non-cash investing and financing activities |  |
Non-cash business acquisition | 3,844 | 0
Fixed asset obtained in exchange for finance lease liabilities | 0 | 398
Common stock issued in business combination | $ 0 | $ 1,000

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