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Consolidating Financial Statements - Cash Flows (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Cash flows from operating activities:        
Consolidated net (loss) income $ (3,107) $ (3,610) $ (7,290) $ (8,859)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     53,089 54,966
Amortization of intangibles, deferred financing costs and bond premium     7,692 8,736
Provision for doubtful accounts     207 3
Provision for inventory obsolescence     322 255
Non-cash share-based compensation expense     2,336 2,272
Gain on sales and disposals of equipment     (1,769) (2,990)
Deferred income taxes     325 181
Interest on note receivable     (20) (7)
Changes in operating assets and liabilities:        
Accounts receivable     (278) (10,764)
Inventories     269 (296)
Other operating assets     147 (1,201)
Accounts payable     (2,259) (763)
Other operating liabilities     (19,037) (19,021)
Net cash provided by operating activities     33,734 22,512
Cash flows from investing activities:        
Medical equipment purchases     (34,552) (41,293)
Property and office equipment purchases     (4,722) (3,655)
Proceeds from disposition of property and equipment     3,132 8,907
Issuance of note receivable from officer     (936) (983)
Acquisition and refund of escrow     (1,896)  
Net cash used in investing activities     (38,974) (37,024)
Cash flows from financing activities:        
Proceeds under senior secured credit facility     130,223 131,700
Payments under senior secured credit facility     (112,942) (108,800)
Payments of principal under capital lease obligations     (4,915) (4,683)
Payment of deferred financing costs       (97)
Holdback payment related to acquisition       (500)
Distributions to noncontrolling interests     (229) (277)
Dividend and equity distribution payments       (24)
Proceed from exercise of parent company stock options     66 78
Contribution from Parent     1,900  
Change in book overdrafts     (8,863) (2,885)
Net cash provided by financing activities     5,240 14,512
Net change in cash and cash equivalents     0 0
Consolidating Adjustments        
Cash flows from operating activities:        
Consolidated net (loss) income (1,020) (689) (2,362) (1,957)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Equity in earnings of subsidiary 1,020 689 2,362 1,957
Changes in operating assets and liabilities:        
Due from affiliates     4,418 375
Net cash provided by operating activities     4,418 375
Cash flows from financing activities:        
Due to affiliates     (4,418) (375)
Net cash provided by financing activities     (4,418) (375)
Parent Issuer UHS        
Cash flows from operating activities:        
Consolidated net (loss) income (3,107) (3,610) (7,290) (8,859)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     46,791 49,447
Amortization of intangibles, deferred financing costs and bond premium     3,841 6,185
Equity in earnings of subsidiary (1,020) (689) (2,362) (1,957)
Provision for doubtful accounts     221 (14)
Provision for inventory obsolescence     192 167
Non-cash share-based compensation expense     1,965 2,272
Gain on sales and disposals of equipment     (1,827) (3,136)
Deferred income taxes     1,308 1,148
Interest on note receivable     (20) (7)
Changes in operating assets and liabilities:        
Accounts receivable     (807) (10,402)
Due from affiliates     (4,418) (375)
Inventories     (97) (1,264)
Other operating assets     451 (839)
Accounts payable     (1,230) 323
Other operating liabilities     (17,667) (18,753)
Net cash provided by operating activities     19,051 13,936
Cash flows from investing activities:        
Medical equipment purchases     (28,024) (35,210)
Property and office equipment purchases     (4,558) (3,619)
Proceeds from disposition of property and equipment     3,105 8,868
Issuance of note receivable from officer     (936) (983)
Acquisition and refund of escrow     3,717  
Net cash used in investing activities     (26,696) (30,944)
Cash flows from financing activities:        
Proceeds under senior secured credit facility     130,223 131,700
Payments under senior secured credit facility     (112,942) (108,800)
Payments of principal under capital lease obligations     (3,734) (3,557)
Payment of deferred financing costs       (97)
Dividend and equity distribution payments       (24)
Proceed from exercise of parent company stock options     66 78
Contribution from Parent     1,900  
Change in book overdrafts     (7,868) (2,292)
Net cash provided by financing activities     7,645 17,008
Subsidiary Guarantor        
Cash flows from operating activities:        
Consolidated net (loss) income $ 1,020 $ 689 2,362 1,957
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     6,298 5,519
Amortization of intangibles, deferred financing costs and bond premium     3,851 2,551
Provision for doubtful accounts     (14) 17
Provision for inventory obsolescence     130 88
Non-cash share-based compensation expense     371  
Gain on sales and disposals of equipment     58 146
Deferred income taxes     (983) (967)
Changes in operating assets and liabilities:        
Accounts receivable     529 (362)
Inventories     366 968
Other operating assets     (304) (362)
Accounts payable     (1,029) (1,086)
Other operating liabilities     (1,370) (268)
Net cash provided by operating activities     10,265 8,201
Cash flows from investing activities:        
Medical equipment purchases     (6,528) (6,083)
Property and office equipment purchases     (164) (36)
Proceeds from disposition of property and equipment     27 39
Acquisition and refund of escrow     (5,613)  
Net cash used in investing activities     (12,278) (6,080)
Cash flows from financing activities:        
Payments of principal under capital lease obligations     (1,181) (1,126)
Holdback payment related to acquisition       (500)
Distributions to noncontrolling interests     (229) (277)
Due to affiliates     4,418 375
Change in book overdrafts     (995) (593)
Net cash provided by financing activities     $ 2,013 $ (2,121)