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UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands
9 Months Ended
Sep. 30, 2011
Sep. 30, 2010
Cash flows from operating activities:  
Net (loss) income$ 1,163$ (2,075)
Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:  
Depreciation7,8246,211
Amortization of intangibles4,0042,196
Amortization of deferred financing costs7751,272
Change in deferred income tax1981,197
Compensation under stock-based compensation plans3,9822,726
Loss on disposal of fixed assets157125
Changes in assets and liabilities, net of acquired business:  
Receivables, net of bad debt expense(19,127)1,972
Inventory28,545(10,834)
Prepaid expenses and other assets4,270(6,618)
Accounts payable(5,592)7,100
Claims payable487530
Amounts due to plan sponsors3,1623,051
Accrued interest5,80313,194
Accrued expenses and other liabilities3,892(14,157)
Net cash provided by operating activities39,5435,890
Cash flows from investing activities:  
Purchases of property and equipment, net(6,499)(6,747)
Cash consideration paid to CHS, net of cash acquired0(92,464)
Cash consideration paid to DS Pharmacy0(4,969)
Cash consideration paid for asset acquisitions(463)0
Net cash used in investing activities(6,962)(104,180)
Cash flows from financing activities:  
Cash consideration paid for Option Health earn-out0(1,000)
Proceeds from new credit facility, net of fees paid to issuers0319,000
Borrowings on line of credit1,294,569300,310
Repayments on line of credit(1,325,882)(330,699)
Repayments of capital leases(2,568)(72)
Principal payments on CHS long-term debt, paid at closing0(128,952)
Principal payments on long-term debt0(1,250)
Repayment of note payable0(2,250)
Deferred and other financing costs(22)(8,680)
Net proceeds from exercise of employee stock compensation plans1,4602,990
Surrender of stock to satisfy minimum tax withholding(138)(128)
Net cash (used in) provided by financing activities(32,581)149,269
Net change in cash and cash equivalents050,979
Cash and cash equivalents - end of period00
Cash and cash equivalents - end of period050,979
DISCLOSURE OF CASH FLOW INFORMATION:  
Cash paid during the period for interest15,0315,038
Cash paid during the period for income taxes, net of refunds(3,175)1,803
Capital lease obligations incurred to acquire property and equipment$ 5,930$ 0