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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified | 6 Months Ended
--- | ---
Jun. 30, 2013 | Jun. 30, 2012
OPERATING ACTIVITIES |  |
Net income including noncontrolling interests | $ 12,983 | $ 14,126
Adjustments to reconcile net income including noncontrolling interests to net cash provided by operating activities: |  |
Depreciation and amortization | 2,730 | 2,646
Provision for doubtful accounts | 2,282 | 2,397
Equity-based awards compensation expense | 1,370 | 1,043
Loss on sale or abandonment of assets, net | 84 | 83
Deferred income tax | (796) | 1,046
Other | 33 |
Changes in operating assets and liabilities: |  |
Increase in patient accounts receivable | (2,542) | (1,613)
Decrease (increase) in accounts receivable - other | 4 | (400)
Decrease in other assets | 3,867 | 301
Increase (decrease) in accounts payable and accrued expenses | 682 | (693)
Increase in other liabilities | 19 | 31
Net cash provided by operating activities | 20,716 | 18,967
INVESTING ACTIVITIES |  |
Purchase of fixed assets | (2,394) | (1,943)
Purchase of businesses, net of cash acquired | (9,998) | (7,180)
Acquisitions of noncontrolling interests, net of sales | (1,064) | (726)
Net proceeds on sale of fixed assets and business | 15 | 28
Net cash used in investing activities | (13,441) | (9,821)
FINANCING ACTIVITIES |  |
Distributions to noncontrolling interests | (4,410) | (4,751)
Cash dividends to shareholders | (2,418) | (2,117)
Proceeds from revolving line of credit | 62,550 | 32,400
Payments on revolving line of credit | (64,200) | (35,900)
Payment of notes payable | (234) | (184)
Excess tax benefit from stock options exercised | 33 | 184
Other | 20 | 50
Net cash used in financing activities | (8,659) | (10,318)
Net decrease in cash | (1,384) | (1,172)
Cash - beginning of period | 11,671 | 9,983
Cash - end of period | 10,287 | 8,811
Cash paid during the period for: |  |
Income taxes | 1,999 | 3,886
Interest | 237 | 422
Non-cash investing and financing transactions during the period: |  |
Purchase of business - seller financing portion | $ 800 | $ 350

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- Definition The cash outflow for a borrowing supported by a written promise to pay an obligation. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3291-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 + Details
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- Definition The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3602-108585 + Details
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- Definition Acquisitions of noncontrolling interests. + References No definition available. + Details
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- Details
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- Definition Increase in accounts receivable - other. + References No definition available. + Details
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- Definition Increase in patient accounts receivable. + References No definition available. + Details
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- Definition Loss on sale or abandonment of assets, net. + References No definition available. + Details
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- Definition Purchase of business - seller financing portion. + References No definition available. + Details
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