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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017
OPERATING ACTIVITIES
Net income including non-controlling interests	$ 23,290	$ 12,424
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities:
Depreciation and amortization	4,866	4,789
Provision for doubtful accounts	2,212	1,786
Equity-based awards compensation expense	2,937	2,345
Loss on sale of fixed assets	94	65
Deferred income taxes	(1,736)	(985)
Changes in operating assets and liabilities:
Increase in patient accounts receivable	(2,141)	(4,006)
Increase in accounts receivable - other	(2,934)	(3,406)
Increase in other assets	(140)	(2,342)
Increase in accounts payable and accrued expenses	4,845	5,043
Increase in mandatorily redeemable non-controlling interests	0	6,401
(Decrease) increase in other liabilities	(672)	77
Net cash provided by operating activities	30,621	22,191
INVESTING ACTIVITIES
Purchase of fixed assets	(3,270)	(3,245)
Purchase of businesses, net of cash acquired	(9,118)	(33,665)
Purchase of non-controlling interest	(245)	0
Proceeds on sale of fixed assets	1	62
Net cash used in investing activities	(12,632)	(36,848)
FINANCING ACTIVITIES
Distributions to non-controlling interests, permanent and temporary equity	(6,735)	(2,665)
Cash dividends paid to shareholders	(5,828)	(2,516)
Proceeds from revolving line of credit	55,000	49,000
Payments on revolving line of credit	(53,000)	(26,000)
Payments to settle mandatorily redeemable non-controlling interests	(265)	(2,230)
Principal payments on notes payable	(1,898)	(777)
Other	(48)	40
Net (cash used in) provided by financing activities	(12,774)	14,852
Net increase in cash and cash equivalents	5,215	195
Cash and cash equivalents - beginning of period	21,933	20,047
Cash and cash equivalents - end of period	27,148	20,242
Cash paid during the period for:
Income taxes	7,483	7,516
Interest	1,106	104
Non-cash investing and financing transactions during the period:
Purchase of business - seller financing portion	$ 550	$ 1,650

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