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INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
CASH FLOWS FROM OPERATING ACTIVITIES:    
NET INCOME (LOSS) $ 699 $ (27,942)
Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Parent (630) (3,752)
Income (loss) from continuing operations 1,329 (24,190)
Adjustments to reconcile income (loss) from continuing operations to net cash provided by (used in) operating activities:    
Depreciation and amortization 4,565 4,533
Deferred income tax benefit 0 16,008
Provision for self-insured professional liability, net of cash payments 494 2,559
Amortization of right-of-use assets 11,286 10,334
Government settlement expense 0 3,100
Stock-based compensation 415 284
Provision for leases in excess of cash payments 1,656 2,564
Other 602 487
Changes in assets and liabilities affecting operating activities:    
Receivables 8,049 (41)
Prepaid expenses and other assets (189) (1,027)
Trade accounts payable and accrued expenses 1,461 (2,283)
Deferred income 25,320 0
Operating lease liabilities (11,286) (10,330)
Net cash provided by continuing operations 43,702 1,998
Discontinued operations (630) (2,789)
Net cash provided by (used in) operating activities 43,072 (791)
NET CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (2,063) (2,270)
Purchases of property and equipment with stimulus funds (712) 0
Net cash used in continuing operations (2,775) (2,270)
Discontinued operations 0 (226)
Net cash used in investing activities (2,775) (2,496)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt and finance lease obligations (18,763) (2,741)
Proceeds from issuance of debt 4,551 6,500
Proceeds from stimulus funds used to purchase property and equipment 712 0
Financing costs (430) (213)
Issuance and redemption of employee equity awards, net 4 42
Net cash provided by (used in) continuing operations (13,926) 3,588
Discontinued operations 0 0
Net cash provided by (used in) financing activities (13,926) 3,588
NET INCREASE IN CASH 26,371 301
CASH, beginning of period 2,710 2,685
CASH, end of period 29,081 2,986
SUPPLEMENTAL INFORMATION:    
Cash payments of interest 2,635 2,701
Cash payments of income taxes 187 254
SUPPLEMENTAL INFORMATION ON NON-CASH INVESTING AND FINANCING TRANSACTIONS:    
Acquisition of equipment through finance leases 0 239
Acquisition of operating leases though adoption of ASC 842 $ 0 $ 389,403