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UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands
6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Cash flows from operating activities:    
Net (loss) income $ 615 $ (4,041)
Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:    
Depreciation 4,735 3,808
Amortization of intangibles 2,760 871
Amortization of deferred financing costs 503 736
Change in deferred income tax (167) 3,679
Compensation under stock-based compensation plans 2,252 1,629
Loss on disposal of fixed assets 92 49
Changes in assets and liabilities, net of acquired business:    
Receivables, net of bad debt expense (7,905) (4,721)
Inventory 26,007 931
Prepaid expenses and other assets (956) (7,863)
Accounts payable (804) (6,162)
Claims payable 2,161 (1,396)
Amounts due to plan sponsors 4,062 2,153
Accrued interest 4 6,214
Accrued expenses and other liabilities 5,139 (16,645)
Net cash provided by (used in) operating activities 38,498 (20,758)
Cash flows from investing activities:    
Purchases of property and equipment, net (5,869) (4,343)
Cash consideration paid to CHS, net of cash acquired 0 (92,464)
Net cash used in investing activities (5,869) (96,807)
Cash flows from financing activities:    
Proceeds from new credit facility, net of fees paid to issuers 0 319,000
Borrowings on line of credit 841,200 300,310
Repayments on line of credit (874,301) (330,699)
Repayments of capital leases (59) 0
Principal payments on CHS long-term debt, paid at closing 0 (128,952)
Principal payments on long-term debt 0 (625)
Deferred and other financing costs (22) (8,488)
Net proceeds from exercise of employee stock compensation plans 691 1,703
Surrender of stock to satisfy minimum tax withholding (138) (111)
Net cash (used in) provided by financing activities (32,629) 152,138
Net change in cash and cash equivalents 0 34,573
Cash and cash equivalents - end of period 0 0
Cash and cash equivalents - end of period 0 34,573
DISCLOSURE OF CASH FLOW INFORMATION:    
Cash paid during the period for interest 14,020 2,971
Cash paid during the period for income taxes, net of refunds $ 509 $ 515