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INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
CASH FLOWS FROM OPERATING ACTIVITIES:    
NET LOSS $ (27,942) $ (414)
Discontinued operations (17) (26)
Loss from continuing operations (27,925) (388)
Adjustments to reconcile loss from continuing operations to net cash provided by (used in) operating activities:    
Depreciation and amortization 5,496 5,728
Deferred income tax provision (benefit) 16,008 (34)
Provision for self-insured professional liability, net of cash payments 2,559 1,722
Litigation contingency expense 3,100 0
Stock-based and deferred compensation 284 765
Gain on sale of unconsolidated affiliate 0 (308)
Provision (benefit) for leases in excess of cash payments 2,564 (916)
Other 487 283
Changes in assets and liabilities affecting operating activities:    
Receivables, net (41) 342
Prepaid expenses and other assets (1,027) (2,651)
Trade accounts payable and accrued expenses (2,279) 2,072
Net cash provided by (used in) continuing operations (774) 6,615
Discontinued operations (17) (632)
Net cash provided by (used in) operating activities (791) 5,983
NET CASH FLOWS USED IN INVESTING ACTIVITIES:    
Purchases of property and equipment (2,496) (3,896)
Proceeds from sale of unconsolidated affiliate 0 308
Net cash used in continuing operations (2,496) (3,588)
Discontinued operations 0 0
Net cash used in investing activities (2,496) (3,588)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt and finance lease obligations (2,741) (9,057)
Proceeds from issuance of debt 6,500 8,203
Financing costs (213) (137)
Issuance and redemption of employee equity awards, net 42 (78)
Payment of common stock dividends 0 (702)
Payment for preferred stock restructuring 0 (337)
Net cash provided by (used in) continuing operations 3,588 (2,108)
Discontinued operations 0 0
Net cash provided by (used in) financing activities 3,588 (2,108)
NET INCREASE IN CASH AND CASH EQUIVALENTS 301 287
CASH AND CASH EQUIVALENTS, beginning of period 2,685 3,524
CASH AND CASH EQUIVALENTS, end of period 2,986 3,811
SUPPLEMENTAL INFORMATION:    
Cash payments of interest 2,701 2,920
Cash payments of income taxes 254 321
SUPPLEMENTAL INFORMATION ON NON-CASH INVESTING AND FINANCING TRANSACTIONS:    
Acquisition of equipment through finance leases 239 $ 0
Acquisition of operating leases through adoption of ASC 842 $ 389,403