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INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net income (loss) $ 3,498 $ (32,816)
Loss from discontinued operations (1,004) (6,716)
INCOME (LOSS) FROM CONTINUING OPERATIONS 4,502 (26,100)
Adjustments to reconcile income (loss) from continuing operations to net cash provided by operating activities:    
Depreciation and amortization 6,663 6,812
Deferred income tax benefit 0 15,851
Provision for self-insured professional liability, net of cash payments 1,066 4,682
Amortization of right-of-use assets 17,253 15,631
Government settlement expense 0 3,100
Stock-based compensation 491 429
Provision for leases in excess of cash payments 2,477 3,768
Other 959 643
Changes in assets and liabilities affecting operating activities:    
Receivables 10,254 7,024
Prepaid expenses and other assets (6,029) (4,071)
Trade accounts payable and accrued expenses (518) (3,447)
Deferred income 27,157 0
Operating lease liabilities (17,246) (15,635)
Net cash provided by continuing operations 47,029 8,687
Discontinued operations (1,004) (5,130)
Net cash provided by operating activities 46,025 3,557
NET CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (3,096) (3,745)
Purchases of property and equipment with stimulus funds (898) 0
Net cash used in continuing operations (3,994) (3,745)
Discontinued operations 0 6
Net cash used in investing activities (3,994) (3,739)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt and finance lease obligations (19,414) (6,867)
Proceeds from issuance of debt 4,551 8,477
Proceeds from stimulus funds used to purchase property and equipment 898 0
Financing costs (556) (215)
Issuance and redemption of employee equity awards, net 3 42
Net cash provided by (used in) continuing operations (14,518) 1,437
Discontinued operations 0 0
Net cash provided by (used in) financing activities (14,518) 1,437
NET INCREASE IN CASH 27,513 1,255
CASH, beginning of period 2,710 2,685
CASH, end of period 30,223 3,940
SUPPLEMENTAL INFORMATION:    
Cash payments of interest 3,592 4,100
Cash payments of income taxes 289 241
SUPPLEMENTAL INFORMATION ON NON-CASH INVESTING AND FINANCING TRANSACTIONS:    
Acquisition of equipment through finance leases 0 234
Acquisition of operating leases though adoption of ASC 842 0 389,403
Lease modification $ 0 $ (48,877)