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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
OPERATING ACTIVITIES    
Net income including non-controlling interests $ 6,034 $ 5,953
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities:    
Depreciation and amortization 2,356 2,091
Provision for doubtful accounts 898 1,089
Equity-based awards compensation expense 1,280 1,221
Loss on sale of fixed assets 33 (19)
Deferred income tax (250) 1,823
Changes in operating assets and liabilities:    
Increase in patient accounts receivable (1,542) (2,185)
(Increase) decrease in accounts receivable - other (3,697) 43
Decrease (increase) in other assets 757 (2,282)
Increase in accounts payable and accrued expenses 5,315 3,857
Increase in mandatorily redeemable non-controlling interests 2,911 2,578
Increase in other liabilities 76 365
Net cash provided by operating activities 14,171 14,534
INVESTING ACTIVITIES    
Purchase of fixed assets (1,587) (1,738)
Purchase of businesses, net of cash acquired (15,670) (12,899)
Acquisitions of non-controlling interests 0 (388)
Proceeds on sale of fixed assets, net 62 42
Net cash used in investing activities (17,195) (14,983)
FINANCING ACTIVITIES    
Distributions to non-controlling interests (937) (1,113)
Cash dividends to shareholders - funded 0 (2,125)
Proceeds from revolving line of credit 32,000 49,000
Payments on revolving line of credit (20,000) (40,500)
Payments to settle mandatorily redeemable non-controlling interests (2,230) (1,136)
Principal payments on notes payable (702) (250)
Other 0 1
Net cash used in financing activities 8,131 3,877
Net increase in cash and cash equivalents 5,107 3,428
Cash and cash equivalents - beginning of period 20,047 15,778
Cash and cash equivalents - end of period 25,154 19,206
Cash paid during the period for:    
Income taxes 86 2,265
Interest 599 248
Non-cash investing and financing transactions during the period:    
Purchase of business - seller financing portion 900 500
Acquisition of noncontrolling interest - seller financing portion 0 388
Payment to settle redeemable non-controlling interest - financing portion $ 0 $ 126