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INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
CASH FLOWS FROM OPERATING ACTIVITIES:    
NET LOSS $ (32,816) $ (7,811)
Discontinued operations (6,716) 564
Loss from continuing operations (26,100) (8,375)
Adjustments to reconcile loss from continuing operations to net cash provided by (used in) operating activities:    
Depreciation and amortization 6,812 7,686
Deferred income tax provision (benefit) 15,851 (829)
Provision for self-insured professional liability, net of cash payments 4,682 2,224
Litigation contingency expense 3,100 6,400
Stock-based and deferred compensation 429 947
Gain on sale of unconsolidated affiliate 0 (308)
Provision (benefit) for leases in excess of cash payments 3,768 (1,363)
Other 643 251
Changes in assets and liabilities affecting operating activities:    
Receivables, net 7,024 (2,134)
Prepaid expenses and other assets (4,071) (2,379)
Trade accounts payable and accrued expenses (3,451) 2,391
Net cash provided by continuing operations 8,687 4,511
Discontinued operations (5,130) 1,153
Net cash provided by operating activities 3,557 5,664
NET CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (3,745) (4,689)
Proceeds from sale of unconsolidated affiliate 0 308
Net cash used in continuing operations (3,745) (4,381)
Discontinued operations 6 (1,275)
Net cash used in investing activities (3,739) (5,656)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt and finance lease obligations (6,867) (15,330)
Proceeds from issuance of debt 8,477 17,203
Financing costs (215) (137)
Issuance and redemption of employee equity awards, net 42 (219)
Payment of common stock dividends 0 (1,053)
Payment for preferred stock restructuring 0 (508)
Net cash provided by (used in) continuing operations 1,437 (44)
Discontinued operations 0 0
Net cash provided by (used in) financing activities 1,437 (44)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 1,255 (36)
CASH AND CASH EQUIVALENTS, beginning of period 2,685 3,524
CASH AND CASH EQUIVALENTS, end of period 3,940 3,488
SUPPLEMENTAL INFORMATION:    
Cash payments of interest 4,100 4,511
Cash payments of income taxes 241 474
SUPPLEMENTAL INFORMATION ON NON-CASH INVESTING AND FINANCING TRANSACTIONS:    
Acquisition of equipment through finance leases 234 203
Acquisition of operating leases though adoption of ASC 842 389,403 $ 0
Lease modification $ (48,877)