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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015
OPERATING ACTIVITIES
Net income including non-controlling interests	$ 25,712	$ 23,332
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities:
Depreciation and amortization	6,210	5,656
Provision for doubtful accounts	2,962	3,119
Equity-based awards compensation expense	3,748	3,368
Loss (gain) on sale of fixed assets	31	3
Excess tax benefit from equity-based awards	(798)	(816)
Deferred income tax	5,688	3,181
Other	0	180
Changes in operating assets and liabilities:
Increase in patient accounts receivable	(2,548)	(4,148)
Decrease (increase) in accounts receivable - other	116	(145)
Increase in other assets	(4,979)	(1,485)
Increase (decrease) in accounts payable and accrued expenses	5,178	(3,766)
Increase in other liabilities	708	380
Net cash provided by operating activities	42,028	28,859
INVESTING ACTIVITIES
Purchase of fixed assets	(5,620)	(4,690)
Purchase of businesses, net of cash acquired	(12,958)	(14,434)
Acquisitions of non-controlling interests (including redeemable non-controlling interests)	(1,800)	(2,802)
Proceeds on sale of fixed assets, net	42	71
Net cash used in investing activities	(20,336)	(21,855)
FINANCING ACTIVITIES
Distributions to non-controlling interests (including redeemable non-controlling interests)	(8,271)	(6,836)
Cash dividends to shareholders - funded	(6,382)	(5,586)
Proceeds from revolving line of credit	128,000	75,000
Payments on revolving line of credit	(136,000)	(63,500)
Principal payments on notes payable	(592)	(616)
Tax benefit from equity-based awards	798	816
Other	1	5
Net cash used in financing activities	(22,446)	(717)
Net (decrease) increase in cash and cash equivalents	(754)	6,287
Cash and cash equivalents - beginning of period	15,778	14,271
Cash and cash equivalents - end of period	15,024	20,558
Cash paid during the period for:
Income taxes	10,051	5,659
Interest	770	616
Non-cash investing and financing transactions during the period:
Purchase of business - seller financing portion	514	1,240
Acquisition of noncontrolling interest - seller financing portion	500	1,350
Revaluation of redeemable non-controlling interests	0	627
Sale of non-controlling interests	$ (148)	$ 0

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