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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) (USD $) In Thousands, unless otherwise specified | 9 Months Ended
--- | ---
Sep. 30, 2014 | Sep. 30, 2013
OPERATING ACTIVITIES |  |
Net income including non-controlling interests | $ 23,161 | $ 15,242
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities: |  |
Depreciation and amortization | 4,682 | 4,181
Provision for doubtful accounts | 3,094 | 3,377
Equity-based awards compensation expense | 2,456 | 2,092
Loss on sale of business and sale or abandonment of assets, net | 20 | 7,233
Excess tax benefit from exercise of stock options | (526) | (277)
Deferred income tax | 3,888 | (543)
Changes in operating assets and liabilities: |  |
Increase in patient accounts receivable | (4,952) | (3,318)
(Increase) decrease in accounts receivable - other | (62) | (41)
Decrease in other assets | (1,803) | 1,148
(Decrease) increase in accounts payable and accrued expenses | (1,739) | (899)
Increase in other Long term liabilities | 607 | 664
Net cash provided by operating activities | 28,826 | 28,859
INVESTING ACTIVITIES |  |
Purchase of fixed assets | (3,912) | (3,458)
Purchase of businesses, net of cash acquired | (12,240) | (10,128)
Acquisitions of non-controlling interests | (4,998) | (1,668)
Proceeds on sale of business and fixed assets, net | 43 | 448
Net cash used in investing activities | (21,107) | (14,806)
FINANCING ACTIVITIES |  |
Distributions to non-controlling interests | (7,067) | (6,588)
Cash dividends to shareholders | (4,399) | (3,628)
Proceeds from revolving line of credit | 112,300 | 88,450
Payments on revolving line of credit | (105,800) | (91,700)
Payment of notes payable | (575) | (459)
Excess tax benefit from stock options exercised | 526 | 277
Proceeds from exercise of stock options | 45 | 0
Other | 177 | 47
Net cash used in financing activities | (4,793) | (13,601)
Net increase in cash | 2,926 | 452
Cash - beginning of period | 12,898 | 11,671
Cash - end of period | 15,824 | 12,123
Cash paid during the period for: |  |
Income taxes | 7,920 | 4,402
Interest | 857 | 352
Non-cash investing and financing transactions during the period: |  |
Purchase of business - seller financing portion | 400 | 800
Revaluation of redeemable non-controlling interests | $ 1,841 | $ 0

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- Definition Amount of cash outflow for payment of an obligation from a lender, including but not limited to, letter of credit, standby letter of credit and revolving credit arrangements. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08.(f)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 08 -Paragraph f -Article 4 Reference 3: 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 4: 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 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 The cash outflow associated with the acquisitions of noncontrolling interests. + References No definition available. + Details
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- Details
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- Definition Gain (Loss) on Sale of Business and Sale or Abandonment of Assets, net or integrated set of activities (for example, but not limited to, a partnership or corporation) engaged in providing a product or service in a commercial, industrial, or professional environment. + References No definition available. + Details
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- Definition The increase (decrease) during the reporting period in patient accounts receivable. + References No definition available. + Details
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- Definition Provision for doubtful accounts of continuing and discontinued operations. + References No definition available. + Details
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- Definition Purchase of business - seller financing portion in noncash investing or financing activities. + References No definition available. + Details
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- Definition Revaluation of redeemable non-controlling interests in noncash investing or financing activities. + References No definition available. + Details
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