Consolidated Statements of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016
Cash flows from operating activities:
Consolidated net loss	$ (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
Supplemental cash flow information:
Interest paid	26,345	25,926
Income taxes paid	533	533
Non-cash activities:
Medical equipment purchases included in accounts payable (at end of period)	4,493	7,546
Capital lease additions	$ 3,179	$ 3,484