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INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
CASH FLOWS FROM OPERATING ACTIVITIES:    
NET (LOSS) INCOME $ 779 $ 3,498
Loss from discontinued operations (1,350) (1,004)
Income from continuing operations 2,129 4,502
Adjustments to reconcile income from continuing operations to net cash (used in) provided by operating activities:    
Depreciation and amortization 7,034 6,663
Provision for self-insured professional liability, net of cash payments 96 1,066
Amortization of right-of-use assets 21,074 17,253
Stock-based compensation 288 491
Provision for leases in excess of cash payments 1,456 2,477
Other (80) 959
Changes in assets and liabilities affecting operating activities:    
Receivables 3,157 10,254
Prepaid expenses and other assets 1,821 (6,029)
Trade accounts payable and accrued expenses (3,279) (518)
Deferred income (17,726) 27,157
Operating lease liabilities (21,059) (17,246)
Net cash (used in) provided by continuing operations (5,089) 47,029
Discontinued operations (1,350) (1,004)
Net cash (used in) provided by operating activities (6,439) 46,025
CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (3,347) (3,096)
Purchases of property and equipment with stimulus funds (954) (898)
Net cash used in continuing operations (4,301) (3,994)
Discontinued operations 0 0
Net cash used in investing activities (4,301) (3,994)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt and finance lease obligations (1,142) (19,414)
Proceeds from issuance of debt 0 4,551
Proceeds from stimulus funds used to purchase property and equipment 305 898
Financing costs 0 (556)
Issuance and redemption of employee equity awards, net 13 3
Net cash used in continuing operations (824) (14,518)
Discontinued operations 0 0
Net cash used in financing activities (824) (14,518)
NET (DECREASE) INCREASE IN CASH (11,564) 27,513
CASH, beginning of period 30,821 2,710
CASH, end of period 19,257 30,223
SUPPLEMENTAL INFORMATION:    
Cash payments of interest 2,909 3,592
Cash (refunds) payments of income taxes $ (1,072) $ 289