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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
OPERATING ACTIVITIES
Net income including non-controlling interests	$ 35,169	$ 19,018
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities:
Depreciation and amortization	7,335	7,269
Provision for doubtful accounts	3,102	2,716
Equity-based awards compensation expense	4,453	3,410
Loss on sale and disposal of fixed assets	128	83
Deferred income taxes	(3,099)	291
Changes in operating assets and liabilities:
Increase in patient accounts receivable	(1,092)	(1,914)
Increase in accounts receivable - other	(3,954)	(4,736)
Decrease (increase) in other assets	233	(787)
Increase in accounts payable and accrued expenses	9,742	8,126
Increase in mandatorily redeemable non-controlling interests	0	7,069
Increase in other liabilities	1,988	286
Net cash provided by operating activities	54,005	40,831
INVESTING ACTIVITIES
Purchase of fixed assets	(5,307)	(5,576)
Purchase of businesses, net of cash acquired	(16,303)	(33,740)
Purchase of non-controlling interest	(272)	0
Proceeds on sale of fixed assets	2	67
Net cash used in investing activities	(21,880)	(39,249)
FINANCING ACTIVITIES
Distributions to non-controlling interests, permanent and temporary equity	(10,470)	(3,698)
Cash dividends paid to shareholders	(8,746)	(7,547)
Proceeds from revolving line of credit	79,000	63,000
Payments on revolving line of credit	(79,000)	(53,000)
Payments to settle mandatorily redeemable non-controlling interests	(265)	(2,230)
Principal payments on notes payable	(2,294)	(776)
Other	(42)	40
Net cash used in financing activities	(21,817)	(4,211)
Net increase in cash and cash equivalents	10,308	(2,629)
Cash and cash equivalents - beginning of period	21,933	20,047
Cash and cash equivalents - end of period	32,241	17,418
Cash paid during the period for:
Income taxes	8,957	8,059
Interest	1,705	1,616
Non-cash investing and financing transactions during the period:
Purchase of business - seller financing portion	$ 950	$ 1,650

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