CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Cash flows from operating activities
Net income (loss)	$ 2,987	$ (2,450)
Adjustments to reconcile net income (loss) to net cash used in operating activities:
Depreciation and amortization	5,010	4,418
Provision for doubtful accounts	0	951
Share-based compensation	1,058	345
Unrealized gain from investment in equity securities	(162)	(8)
(Income) loss from equity method investments	(2,054)	850
Deferred tax	(1,915)	(2,623)
Changes in operating assets and liabilities, net of business combinations:
Receivable, net	(7,043)	487
Receivable, net – related parties	(2,774)	(7,511)
Other receivables	521	(11,245)
Prepaid expenses and other current assets	(1,495)	(729)
Right-of-use assets	794	448
Other assets	(4,801)	(443)
Accounts payable and accrued expenses	(7,173)	22,579
Fiduciary accounts payable	(318)	546
Medical liabilities	4,973	(10,376)
Income taxes payable	3,505	1,210
Operating lease liabilities	(406)	(416)
Net cash used in operating activities	(9,293)	(3,967)
Cash flows from investing activities
Purchases of marketable securities	(374)	(8)
Purchases of investment – equity method	(300)	0
Purchases of property and equipment	(269)	(104)
Net cash used in investing activities	(943)	(112)
Cash flows from financing activities
Repayment of bank loan and lines of credit	0	(40)
Dividends paid	(9,934)	(10,000)
Repayment of term loan	(2,375)	0
Payment of finance lease obligations	(26)	(25)
Proceeds from the exercise of stock options and warrants	700	140
Repurchase of shares	(426)	(40)
Proceeds from common stock offering	0	155
Net cash used in financing activities	(12,061)	(9,810)
Net decrease in cash, cash equivalents and restricted cash	(22,297)	(13,889)
Cash, cash equivalents and restricted cash, beginning of period	104,010	107,637
Cash, cash equivalents and restricted cash, end of period	81,713	93,748
Supplementary disclosures of cash flow information:
Cash paid for interest	2,619	182
Reconciliation of cash, cash equivalents, and restricted cash
Cash and cash equivalents	80,892	93,008
Restricted cash – current	75	0
Restricted cash – non-current	746	740
Total cash, cash equivalents and restricted cash shown in the statement of cash flows	$ 81,713	$ 93,748