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UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Cash flows from operating activities:    
Net loss $ (19,428) $ (9,537)
Less: (Loss) income from discontinued operations, net of income taxes (437) 233
Loss from continuing operations, net of income taxes (18,991) (9,770)
Adjustments to reconcile net loss from continuing operations, net of income taxes to net cash used in operating activities:    
Depreciation and amortization 6,988 4,538
Amortization of deferred financing costs and debt discount 1,318 1,003
Change in fair value of contingent consideration 0 51
Change in deferred income tax 619 174
Compensation under stock-based compensation plans 521 1,474
Gain on dispositions 0 (939)
Changes in assets and liabilities:    
Receivables, net of bad debt expense 2,333 (4,417)
Inventory 5,616 13,867
Prepaid expenses and other assets 3,601 7,897
Accounts payable (11,688) (11,995)
Amounts due to plan sponsors 645 321
Accrued interest (1,157) (4,630)
Accrued expenses and other liabilities (401) (2,548)
Net cash used in operating activities from continuing operations (10,596) (4,974)
Net cash used in operating activities from discontinued operations (437) (5,989)
Net cash used in operating activities (11,033) (10,963)
Cash flows from investing activities:    
Purchases of property and equipment (1,684) (2,429)
Proceeds from dispositions 0 1,105
Investment in restricted cash (5,132) 0
Net cash used in investing activities (6,816) (1,324)
Cash flows from financing activities:    
Proceeds from priming credit agreement, net 23,060 0
Net proceeds from private placement, net of issuance costs 5,052 0
Borrowings on revolving credit facility 563 21,000
Repayments on revolving credit facility (1,000) (13,000)
Principal payments of long-term debt (3,137) (3,137)
Repayments of capital leases (238) (51)
Other (51) (53)
Net cash provided by financing activities 24,249 4,759
Net change in cash and cash equivalents 6,400 (7,528)
Cash and cash equivalents - beginning of period 9,569 15,577
Cash and cash equivalents - end of period 15,969 8,049
DISCLOSURE OF CASH FLOW INFORMATION:    
Cash paid during the period for interest 12,548 13,143
Cash paid during the period for income taxes $ 125 $ 13