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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Cash flows from operating activities:    
Net (loss) income $ (5,744) $ (932)
Loss from discontinued operations, net of tax 399 1,017
Loss from continuing operations (5,345) 85
Adjustments to reconcile net loss from continuing operations to net cash provided by operating activities:    
Depreciation and amortization 2,381 2,306
Stock-based compensation expense 76 154
Rent expense in excess of cash paid 217 310
Rent revenue in excess of cash received (1,245) (1,502)
Amortization of deferred financing costs, debt discounts and premiums 449 173
Loss on debt extinguishment 441  
Bad debt expense 3,982 455
Changes in operating assets and liabilities:    
Accounts receivable (395) 176
Prepaid expenses and other 114 27
Other assets 35 (101)
Accounts payable, and accrued expenses and other 526 384
Other liabilities   138
Net cash provided by operating activities - continuing operations 1,236 2,605
Net cash used in operating activities - discontinued operations (1,096) (933)
Net cash provided by operating activities 140 1,672
Cash flows from investing activities:    
Purchase of real estate, net   (1,375)
Purchase of property and equipment (266) (534)
Net cash used in investing activities - continuing operations (266) (1,909)
Net cash used in investing activities (266) (1,909)
Cash flows from financing activities:    
Proceeds from debt issuance 2,397  
Repayment on notes payable (1,022) (2,512)
Repayment on bonds payable (95) (90)
Repayment of convertible debt   (7,700)
Debt issuance costs (50)  
Proceeds from preferred stock issuances, net   989
Repurchase of common stock   (187)
Dividends paid on preferred stock   (3,790)
Net cash provided by (used in) financing activities - continuing operations 1,230 (13,290)
Net cash used in financing activities - discontinued operations (139) (312)
Net cash provided by (used in) financing activities 1,091 (13,602)
Net change in cash and restricted cash 965 (13,839)
Cash and restricted cash, beginning 5,359 19,509
Cash and restricted cash, ending 6,324 5,670
Supplemental disclosure of cash flow information:    
Interest paid 1,996 1,889
Income taxes paid 33  
Supplemental disclosure of non-cash activities:    
Non-cash payments of long-term debt (8,744)  
Non-cash payments of convertible debt (1,500)  
Non-cash payments of professional liability settlements from financing (2,371)  
Non-cash debt issuance costs and prepayment penalties (1,238)  
Non-cash payments of professional liability settlements from prior insurer (2,850)  
Net payments through escrow (16,703)  
Non-cash proceeds from financing 13,853  
Non-cash proceeds from prior insurer for professional liability settlements 2,850  
Net proceeds through escrow 16,703  
Non-cash proceeds from debt to purchase real estate   4,125
Non-cash deferred financing 1,185  
Surrender of security deposit 305 500
Non-cash proceeds from vendor-financed insurance $ 198 198
Non-cash proceeds from financing of South Carolina Medicaid audit repayment   $ 385