v3.21.2
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Cash flows from operating activities    
Net income $ 73,988 $ 83,988
Adjustments to reconcile net income to net cash provided by (used in) operating activities:    
Depreciation and amortization 8,434 9,330
Amortization of debt issuance costs 741 658
Share-based compensation 2,902 1,910
Unrealized (gain) loss from investment in equity securities (83,769) 25
Loss (income) from equity method investments 3,812 (2,888)
Gain on sale of equity method investments 0 (99,647)
Impairment of beneficial interest 15,723 0
Loss on interest rate swaps 1,195 0
Deferred tax 10,283 (4,473)
Other 189 0
Changes in operating assets and liabilities, net of business combinations:    
Receivables, net (9,975) (6,284)
Receivables, net – related parties (19,508) (11,191)
Other receivables (266) 966
Prepaid expenses and other current assets 4,613 (873)
Right-of-use assets 1,646 1,680
Other assets (426) (5,095)
Accounts payable and accrued expenses 16,984 (3,043)
Fiduciary accounts payable (550) (174)
Medical liabilities 8,977 11,252
Income taxes payable (2,009) 37,681
Operating lease liabilities (1,698) (1,247)
Net cash provided by operating activities 31,286 12,575
Cash flows from investing activities    
Proceeds from repayment of loans receivable – related parties 31 16,500
Payments for business acquisition, net of cash acquired (117) 0
Purchases of marketable securities (4,450)
Purchases of marketable securities (670) (1,142)
Purchase of investment – equity method (1,660) (500)
Proceeds from sale of equity method investment 0 52,743
Purchases of property and equipment (7,364) (451)
Cash received from consolidation of VIE 3,322 0
Proceeds from sale of marketable securities 1,106 0
Net cash (used in) provided by investing activities (9,802) 67,150
Cash flows from financing activities    
Dividends paid (21,110) (30,187)
Repayment of long-term debt (238,208) (2,375)
Payment of finance lease obligations (54) (61)
Proceeds from the exercise of stock options and warrants 4,816 2,863
Repurchase of shares (2,981) (788)
Purchase of noncontrolling interest (75) 0
Proceeds from sale of noncontrolling interest 38 0
Borrowings on revolver 180,000 0
Proceeds from sale of shares 40,134 0
Payment of debt issuance costs (727) 0
Net cash used in financing activities (38,167) (30,548)
Net (decrease) increase in cash, cash equivalents, and restricted cash (16,683) 49,177
Cash, cash equivalents, and restricted cash, beginning of period 193,970 104,010
Cash, cash equivalents, and restricted cash, end of period 177,287 153,187
Supplementary disclosures of cash flow information:    
Cash paid for income taxes 23,324 0
Cash paid for interest 2,507 2,623
Supplemental disclosures of non-cash investing and financing activities    
Dividend declared included in dividend payable 50 160
Preferred shares received from sale of equity investment 0 36,179
Cancellation of Restricted Stock Awards 144 0
Reconciliation of cash, cash equivalents, and restricted cash    
Cash and cash equivalents 177,287 152,441
Restricted cash - noncurrent 0 746
Cash, cash equivalents, restricted cash total $ 177,287 $ 153,187

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