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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Mar. 31, 2020 | Mar. 31, 2019 | Dec. 31, 2019
OPERATING ACTIVITIES |  |  |
Net income including non-controlling interests | $ 3,338 | $ 12,375 |
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities: |  |  |
Depreciation and amortization | 2,607 | 2,400 |
Provision for doubtful accounts | 1,361 | 1,206 |
Equity-based awards compensation expense | 1,886 | 1,728 |
Deferred income taxes | (1,369) | 2,118 |
Write-off of goodwill - closed clinics | 1,859 | 0 | $ 0
Other | 129 | 12 |
Changes in operating assets and liabilities: |  |  |
(Decrease) Increase in patient accounts receivable | 3,209 | (4,898) |
Increase in accounts receivable - other | (1,752) | (495) |
Increase (Decrease) in other assets | 2,846 | (894) |
Increase in accounts payable and accrued expenses | 2,027 | 274 |
Increase (decrease) in other liabilities | 239 | (263) |
Net cash provided by operating activities | 16,380 | 13,563 |
INVESTING ACTIVITIES |  |  |
Purchase of fixed assets | (2,754) | (2,497) |
Purchase of majority interest in businesses, net of cash acquired | (11,633) | 0 |
Purchase of redeemable non-controlling interest, temporary equity | (1,852) | (2,053) |
Purchase of non-controlling interest, permanent equity | 0 | (139) |
Proceeds on sale of fixed assets | 316 | 59 |
Net cash used in investing activities | (15,923) | (4,630) |
FINANCING ACTIVITIES |  |  |
Distributions to non-controlling interests, permanent and temporary equity | (2,341) | (2,576) |
Proceeds from revolving line of credit | 88,000 | 19,000 |
Payments on revolving line of credit | (20,000) | (28,000) |
Principal payments on notes payable | (114) | (482) |
Other | 1 | (5) |
Net cash provided by (used in) financing activities | 65,546 | (12,063) |
Net increase in cash and cash equivalents | 66,003 | (3,130) |
Cash and cash equivalents - beginning of period | 23,548 | 23,368 | 23,368
Cash and cash equivalents - end of period | 89,551 | 20,238 | $ 23,548
Cash paid during the period for: |  |  |
Income taxes | 242 | 313 |
Interest | 349 | 343 |
Non-cash investing and financing transactions during the period: |  |  |
Purchase of businesses - seller financing portion | 300 | 0 |
Purchase of non-controlling interest - payable | $ 0 | $ 228 |

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- Definition Amount of expense (reversal of expense) for expected credit loss on accounts receivable. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 20 -Section 50 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=119407570&loc=SL82919249-210447 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03(5)) -URI http://asc.fasb.org/extlink&oid=116634182&loc=SL114868664-224227 + Details
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- Definition Amount of cash outflow for payment of an obligation from a lender, including but not limited to, letter of credit, standby letter of credit and revolving credit arrangements. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3291-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08.(f)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690 + Details
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- Definition The cash outflow for a borrowing supported by a written promise to pay an obligation. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3291-108585 + Details
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- Definition Amount of noncash expense for share-based payment arrangement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3602-108585 + Details
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- Definition The amount of business acquisition cost of acquired entity debt issued on the date of acquisition. + References No definition available. + Details
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- Definition Purchase of business - seller financing portion in noncash investing or financing activities. + References No definition available. + Details
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