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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Amount of currency on hand as well as demand deposits with banks or financial institutions. Includes other kinds of accounts that have the general characteristics of demand deposits. Also includes short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Excludes cash and cash equivalents within disposal group and discontinued operation.