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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Nov. 30, 2015
Nov. 30, 2014
OPERATING ACTIVITIES:    
Net loss $ (19,013) $ (14,557)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 34,217 36,131
Noncash interest expense 5,429 5,420
Loss on disposition and retirement of fixed assets 443 75
Provision for doubtful accounts 360 20
Share-based compensation expense 2,780 1,467
Deferred income taxes (7,208) (10,096)
Changes in operating assets and liabilities, net of effects of acquisitions:    
Accounts receivable, trade 1,021 (3,770)
Income taxes (309) (25)
Inventories (6,170) (2,436)
Other assets 1,166 843
Accounts payable (187) 2,726
Deferred revenue 156 (166)
Accrued expenses and other liabilities (4,644) (619)
Cash provided by operating activities 8,041 15,013
INVESTING ACTIVITIES:    
Purchases of property and equipment (3,889) (6,903)
Other investments (3,100) (5,300)
Acquisitions of businesses, net of cash acquired (750) (6,396)
Cash used in investing activities (7,739) (18,599)
FINANCING ACTIVITIES:    
Repayments of long-term debt (3,323) (3,328)
Proceeds from Revolving Facility 28,000 29,500
Repayments of Revolving Facility (28,000) (29,500)
Cash used in financing activities (3,323) (3,328)
EFFECT OF EXCHANGE RATES ON CASH AND CASH EQUIVALENTS (275) (1,602)
DECREASE IN CASH AND CASH EQUIVALENTS (3,296) (8,516)
Cash and cash equivalents at beginning of period 18,363 23,621
Cash and cash equivalents at end of period 15,067 15,105
SUPPLEMENTAL INFORMATION:    
Income taxes paid, net of refunds 2,053 2,325
Interest paid 39,514 39,702
NON-CASH INVESTING AND FINANCING ACTIVITIES:    
Movement from inventory to property and equipment of instruments placed on rental agreements $ 2,691 $ 3,069