Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018
Cash flows from operating activities:
Net (loss) income including non-controlling interests	$ (3,756)	$ 1,730
Adjustments to reconcile net (loss) income including non-controlling interest to net cash provided by operating activities:
Depreciation and amortization	19,660	18,768
Amortization of debt discount	502	483
Amortization of debt issuance costs	223	300
Non-cash rental income, net of non-cash rental expense	(1,046)	(1,713)
Share-based compensation expense	1,950	1,483
Net change in deferred taxes	0	(26)
Net change in certain operating assets and liabilities	3,219	23,049
Decrease (increase) in deferred membership costs	637	(1,563)
Landlord contributions to tenant improvements	15	800
Decrease in insurance reserves	(114)	(168)
Other	(428)	(121)
Total adjustments	24,618	41,292
Net cash provided by operating activities	20,862	43,022
Cash flows from investing activities:
Capital expenditures	(7,601)	(4,570)
Acquisition of business	(21,667)	(7,265)
Acquisition of asset	0	(3,989)
Other	0	(21)
Net cash used in investing activities	(29,268)	(15,845)
Cash flows from financing activities:
Principal payments on 2013 Term Loan Facility	(18,658)	(1,041)
Proceeds from borrowings on Revolving Loan Facility	9,500	0
Principal payments on finance lease obligations	(610)	(241)
Proceeds from mortgage and term loan	0	2,380
Principal payments on mortgage and term loan	(95)	(21)
Cash dividends paid	0	(1)
Proceeds from stock option exercises	1	2
Net cash (used in) provided by financing activities	(9,862)	1,078
Effect of exchange rate changes on cash, cash equivalents and restricted cash	4	35
Net (decrease) increase in cash and cash equivalents	(18,264)	28,290
Cash, cash equivalents and restricted cash beginning of period	50,061	30,321
Cash, cash equivalents and restricted cash end of period	31,797	58,611
Summary of the change in certain operating assets and liabilities:
Increase in accounts receivable	(142)	(526)
Decrease in prepaid expenses and other current assets	1,442	12,308
Increase in accounts payable, accrued expenses and accrued interest	1,325	4,511
Change in prepaid corporate income taxes and corporate income taxes payable	(22)	3,474
Increase in deferred revenue	616	3,282
Net change in certain working capital components	3,219	23,049
Supplemental disclosures of cash flow information:
Cash payments for interest, net of capitalized interest	5,175	5,853
Cash payments for income taxes	105	511
Cash, cash equivalents and restricted cash end of period	$ 50,061	$ 30,321