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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