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UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Mar. 31, 2023 | Mar. 31, 2022 | Dec. 31, 2022
OPERATING ACTIVITIES |  |  |
Net income including non-controlling interest | $ 11,427 | $ 11,982 |
Adjustments to reconcile net income including non-controlling interest to net cash provided by operating activities: |  |  |
Depreciation and amortization | 3,788 | 3,824 |
Provision for credit losses | 1,512 | 1,305 |
Equity-based awards compensation expense | 1,806 | 1,846 |
Deferred income taxes | 221 | 2,132 |
Change in revaluation of put-right liability | 149 | (603) |
Change in fair value of contingent earn-out consideration | 698 | 0 |
Earnings in unconsolidated affiliate | (274) | (339) |
Other | 125 | 93 |
Changes in operating assets and liabilities: |  |  |
Increase in patient accounts receivable | (5,999) | (4,676) |
Increase in accounts receivable - other | (796) | (2,145) |
Increase (decrease) in other assets | 1,897 | (735) |
(Decrease ) increase in accounts payable and accrued expenses | (1,846) | 1,445 |
Decrease in other long-term liabilities | (1,359) | (2,480) |
Net cash provided by operating activities | 11,349 | 11,649 |
INVESTING ACTIVITIES |  |  |
Purchase of fixed assets | (2,059) | (2,528) |
Purchase of majority interest in businesses, net of cash acquired | (5,796) | (11,242) |
Purchase of redeemable non-controlling interest, temporary equity | (5,178) | (2,211) |
Purchase of non controlling interest-permanent | 0 | (99) |
Proceeds on sale of partnership interest - redeemable non-controlling interest | 107 | 4 |
Distributions from unconsolidated affiliate | 245 | 132 |
Net cash used in investing activities | (12,681) | (15,944) |
FINANCING ACTIVITIES |  |  |
Distributions to non-controlling interest, permanent and temporary equity | (3,297) | (3,711) |
Proceeds from revolving line of credit | 7,000 | 35,000 |
Proceeds from term loan | 0 | (31,000) |
Payments on term loan | (938) | 0 |
Principal payments on notes payable | (422) | (332) |
Net cash provided by (used in) financing activities | 2,343 | (43) |
Net increase (decrease) in cash and cash equivalents | 1,011 | (4,338) |
Cash and cash equivalents - beginning of period | 31,594 | 28,567 | $ 28,567
Cash and cash equivalents - end of period | 32,605 | 24,229 | $ 31,594
Cash paid during the period for: |  |  |
Income taxes | 442 | 81 |
Interest paid | 1,377 | 525 |
Non-cash investing and financing transactions during the period: |  |  |
Purchase of businesses - seller financing portion | 360 | 300 |
Notes payable related to purchase of redeemable non-controlling interest, temporary equity | 611 | 246 |
Notes payable related to purchase of non-controlling interest, permanent equity | 0 | 296 |
Notes receivable related to sale of partnership interest - redeemable non-controlling interest | 532 | 0 |
Dividends payable to USPH shareholders | $ 5,617 | $ 5,327 |

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