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Consolidated Statements of Cash Flows - USD ($)
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Cash flows from operating activities    
Net income $ 45,824,328 $ 10,019,797
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 19,075,353 18,114,440
Impairment of goodwill and intangibles 2,431,791 324,306
Share-based compensation 2,743,116 1,954,238
Unrealized gain from investment in equity securities (86,005) 0
Gain on settlement of preexisting note receivable from ApolloMed (921,938) 0
Gain from investments - fair value adjustments (13,697,018) 0
Change in fair value of derivative instrument 44,886 (1,722,221)
Loss (income) from equity method investments 1,112,541 (4,748,542)
Deferred tax (20,675,807) (3,009,779)
Changes in operating assets and liabilities, net of acquisition amounts:    
Change in restricted cash 95,456 (756)
Receivable, net 10,702,753 8,703,162
Prepaid expenses and other current assets 1,260,064 (172,311)
Other assets (220,925) (63,353)
Accounts payable and accrued expenses (3,687,022) 1,927,121
Capitation incentives payable 1,878,355 5,182,665
Medical liabilities 5,661,313 2,945,946
Income taxes payable 388,138 (17,540,939)
Net cash provided by operating activities 51,929,379 21,913,774
Cash flows from investing activities    
Cash acquired in the Merger 36,367,555 0
Cash received from consolidation of VIE 228,287 0
Purchases of marketable securities (5,283) (10,447)
Restricted cash (18,000,000) 0
Proceeds from loans receivable 200,000 0
Advances on loans receivable (10,000,000) 0
Advances to related parties - loans receivable 0 (200,000)
Dividends received from equity method investments 1,240,000 2,000,000
Proceeds on sale of investments - cost method 25,000 0
Purchases of investments - cost method 0 (5,000,000)
Purchases of investments - equity method 0 (2,440,000)
Purchases of property and equipment (2,084,770) (3,306,294)
Net cash provided by (used in) investing activities 7,970,789 (8,956,741)
Cash flows from financing activities    
Repayment of loan payable - related party 0 (600,000)
Dividends paid (10,447,923) (26,659,119)
Change in noncontrolling interest capital 0 1,124,320
Borrowings on line of credit 5,000,000 0
Advances by NMM to ApolloMed prior to the Merger (9,000,000) 0
Principal payments on bank loan 0 (1,477,561)
Payment of capital lease obligations (102,348) (181,008)
Proceeds from exercise of stock options included in liabilities 425,025 0
Proceeds from exercise of stock options 164,797 260,000
Proceeds from common stock offering 2,160,736 10,903,700
Repurchase of common shares (3,175,836) (517,500)
Net cash used in financing activities (14,975,549) (17,147,168)
Net increase (decrease) in cash and cash equivalents 44,924,619 (4,190,135)
Cash and cash equivalents, beginning of year 54,824,580 59,014,715
Cash and cash equivalents, end of year 99,749,199 54,824,580
Supplemental disclosures of cash flow information    
Cash paid for income taxes 24,362,223 29,366,184
Cash paid for interest 51,043 61,589
Supplemental disclosures of non-cash investing and financing activities    
Stock issued in connection with acquisitions 0 5,155,000
Deferred tax liability adjusted to goodwill 0 977,817
Equipment purchased with capital lease 0 186,092
Dividends declared included in dividends payable and restricted cash 18,000,000 0
Distribution of warrants to former NMM shareholders 5,294,000 0
Issuance of common stock upon conversion of debt and accrued interest 5,376,215 0
Reclassification of liability for unissued common shares payable to equity 1,237,650 0
Reclassification of fiduciary cash to payable 966,698 1,313,395
Unvested Stock Compensation [Member]    
Supplemental disclosures of non-cash investing and financing activities    
Non-cash purchase consideration for acquisition 187,333 0
Preferred Stock [Member]    
Supplemental disclosures of non-cash investing and financing activities    
Non-cash purchase consideration for acquisition 19,118,000 0
Equity [Member]    
Supplemental disclosures of non-cash investing and financing activities    
Non-cash purchase consideration for acquisition 61,092,050 0
Network Medical Management, Inc. [Member]    
Supplemental disclosures of non-cash investing and financing activities    
Non-cash purchase consideration for acquisition $ 5,129,000 $ 0