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Consolidating Financial Statements - Cash Flows (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Cash flows from operating activities:        
Consolidated net (loss) income $ (2,293) $ (609) $ (4,183) $ (5,249)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     35,664 36,614
Amortization of intangibles, deferred financing costs and bond premium     5,460 6,011
Provision for doubtful accounts     73 130
Provision for inventory obsolescence     122 86
Non-cash share-based compensation expense     1,551 1,514
Gain on sales and disposals of equipment     (1,046) (1,863)
Deferred income taxes     204 120
Interest on note receivable     (11) (3)
Changes in operating assets and liabilities:        
Accounts receivable     158 (5,301)
Inventories     495 (80)
Other operating assets     (414) (1,100)
Accounts payable     (3,639) (1,338)
Other operating liabilities     (3,381) (6,537)
Net cash provided by operating activities     31,053 23,004
Cash flows from investing activities:        
Medical equipment purchases     (24,296) (27,412)
Property and office equipment purchases     (3,309) (2,083)
Proceeds from disposition of property and equipment     2,091 6,944
Issuance of note receivable from officer     (936) (983)
Acquisition and refund of escrow     (1,923)  
Net cash used in investing activities     (28,373) (23,534)
Cash flows from financing activities:        
Proceeds under senior secured credit facility     83,200 75,700
Payments under senior secured credit facility     (79,692) (74,500)
Payments of principal under capital lease obligations     (3,419) (2,944)
Payment of deferred financing costs       (97)
Holdback payment related to acquisition       (500)
Distributions to noncontrolling interests     (133) (196)
Dividend and equity distribution payments       (24)
Proceed from exercise of parent company stock options     29 66
Contribution from Parent     1,900  
Change in book overdrafts     (4,565) 3,025
Net cash (used in) provided by financing activities     (2,680) 530
Net change in cash and cash equivalents     0 0
Consolidating Adjustments        
Cash flows from operating activities:        
Consolidated net (loss) income (929) (901) (1,342) (1,268)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Equity in earnings of subsidiary 929 901 1,342 1,268
Changes in operating assets and liabilities:        
Due from affiliates     5,731 1,380
Net cash provided by operating activities     5,731 1,380
Cash flows from financing activities:        
Due to affiliates     (5,731) (1,380)
Net cash (used in) provided by financing activities     (5,731) (1,380)
Parent Issuer UHS        
Cash flows from operating activities:        
Consolidated net (loss) income (2,293) (609) (4,183) (5,249)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     31,538 33,059
Amortization of intangibles, deferred financing costs and bond premium     2,929 4,304
Equity in earnings of subsidiary (929) (901) (1,342) (1,268)
Provision for doubtful accounts     85 72
Provision for inventory obsolescence     (10) 126
Non-cash share-based compensation expense     1,305 1,514
Gain on sales and disposals of equipment     (992) (1,903)
Deferred income taxes     788 799
Interest on note receivable     (11) (3)
Changes in operating assets and liabilities:        
Accounts receivable     (466) (5,110)
Due from affiliates     (5,731) (1,380)
Inventories     14 (859)
Other operating assets     (134) (722)
Accounts payable     (2,435) (522)
Other operating liabilities     (2,430) (6,254)
Net cash provided by operating activities     18,925 16,604
Cash flows from investing activities:        
Medical equipment purchases     (19,105) (22,647)
Property and office equipment purchases     (3,206) (2,070)
Proceeds from disposition of property and equipment     2,010 6,940
Issuance of note receivable from officer     (936) (983)
Acquisition and refund of escrow     3,691  
Net cash used in investing activities     (17,546) (18,760)
Cash flows from financing activities:        
Proceeds under senior secured credit facility     83,200 75,700
Payments under senior secured credit facility     (79,692) (74,500)
Payments of principal under capital lease obligations     (2,623) (2,341)
Payment of deferred financing costs       (97)
Dividend and equity distribution payments       (24)
Proceed from exercise of parent company stock options     29 66
Contribution from Parent     1,900  
Change in book overdrafts     (4,193) 3,352
Net cash (used in) provided by financing activities     (1,379) 2,156
Subsidiary Guarantor        
Cash flows from operating activities:        
Consolidated net (loss) income $ 929 $ 901 1,342 1,268
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     4,126 3,555
Amortization of intangibles, deferred financing costs and bond premium     2,531 1,707
Provision for doubtful accounts     (12) 58
Provision for inventory obsolescence     132 (40)
Non-cash share-based compensation expense     246  
Gain on sales and disposals of equipment     (54) 40
Deferred income taxes     (584) (679)
Changes in operating assets and liabilities:        
Accounts receivable     624 (191)
Inventories     481 779
Other operating assets     (280) (378)
Accounts payable     (1,204) (816)
Other operating liabilities     (951) (283)
Net cash provided by operating activities     6,397 5,020
Cash flows from investing activities:        
Medical equipment purchases     (5,191) (4,765)
Property and office equipment purchases     (103) (13)
Proceeds from disposition of property and equipment     81 4
Acquisition and refund of escrow     (5,614)  
Net cash used in investing activities     (10,827) (4,774)
Cash flows from financing activities:        
Payments of principal under capital lease obligations     (796) (603)
Holdback payment related to acquisition       (500)
Distributions to noncontrolling interests     (133) (196)
Due to affiliates     5,731 1,380
Change in book overdrafts     (372) (327)
Net cash (used in) provided by financing activities     $ 4,430 $ (246)