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Consolidating Financial Statements (Details 4) (USD $)
In Thousands, unless otherwise specified
9 Months Ended 12 Months Ended
Sep. 30, 2012
Sep. 30, 2011
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Cash flows from operating activities:          
Consolidated net income (loss) $ (22,022) $ (14,044) $ (21,939)    
Adjustments to reconcile net loss to net cash provided by operating activities:          
Depreciation 60,435 58,351 77,248 78,001 72,762
Amortization of intangibles, deferred financing costs and bond premium 13,800 13,339 22,000 16,295 16,692
Non-cash write off of deferred financing cost and bond premium of repurchased notes 2,541        
Tender premium for purchase of notes 9,798        
Provision for doubtful accounts 584 593 899 213 1,546
Provision for inventory obsolescence 236 99 134 105 (1)
Non-cash stock-based compensation expense 3,225 3,294 4,276 7,333 1,330
Non-cash gain on trade-in of recalled equipment (15,872) (8,360) (13,710)    
Loss (gain) on sales and disposals of equipment (1,237) (1,297) (1,896) (145) 158
Deferred income taxes (3,557) (6,717) (8,728) 1,401 (11,767)
Changes in operating assets and liabilities:          
Accounts receivable (3,630) (4,328) (6,670) (96) (7,511)
Inventories (1,910) (267) (73) 370 392
Other operating assets (250) (759) 184 (445) (609)
Accounts payable 3,178 813 5,358 1,802 1,097
Other operating liabilities 6,294 15,350 608 433 472
Net cash provided by operating activities 51,613 56,067 57,691 76,156 55,988
Cash flows from investing activities:          
Medical equipment purchases (41,901) (60,563) (77,561) (70,671) (48,827)
Property and office equipment purchases (4,783) (5,861) (9,557) (6,327) (4,700)
Proceeds from disposition of property and equipment 5,675 2,599 3,869 2,793 3,119
Acquisitions, net of cash acquired (14,418) (65,039) (69,970)    
Net cash used in investing activities (55,427) (128,864) (153,219) (74,205) (50,550)
Cash flows from financing activities:          
Proceeds under senior secured credit facility 113,000 132,250 166,250 146,529 78,000
Payments under senior secured credit facility (96,200) (185,150) (204,650) (132,029) (88,600)
Payments of principal under capital lease obligations (4,909) (4,286) (5,835) (5,052) (4,477)
Purchase of Refinanced Bonds (405,000) (4,340)      
Payment of deferred financing costs (9,983) (4,340) (4,458) (1,746)  
Payments on acquired debt (4,163)   (472)    
Proceeds from issuance of bonds 425,000 178,938 178,938    
Cash paid to non controlling interests (571) (291) (451)    
Proceeds from exercise of parent company stock options 150 41 41 28  
Dividend and equity distribution Payments (763) (32,729) (32,729)    
Tender premium for purchase of notes (9,798)        
Change in book overdrafts (1,648) 755 48 264 (3,867)
Contributions from new members to limited liability companies   7 7    
Accrued interest received from bondholders   661 661    
Net cash provided by financing activities 5,115 85,856 96,689 (1,951) (17,444)
Net change in cash and cash equivalents 1,301 13,059 1,161   (12,006)
Cash and cash equivalents at the beginning of period 1,161       12,006
Cash and cash equivalents at the end of period 2,462 13,059 1,161    
Parent Issuer UHS
         
Cash flows from operating activities:          
Consolidated net income (loss) (20,650) (14,944) (20,585)    
Adjustments to reconcile net loss to net cash provided by operating activities:          
Depreciation 56,600 56,903 75,004    
Amortization of intangibles, deferred financing costs and bond premium 11,411 11,985 15,964    
Non-cash write off of deferred financing cost and bond premium of repurchased notes 2,541        
Tender premium for purchase of notes 9,798        
Provision for doubtful accounts 366 598 907    
Provision for inventory obsolescence 219 99 134    
Non-cash stock-based compensation expense 3,225 3,294 4,276    
Non-cash gain on trade-in of recalled equipment (15,872) (8,360) (13,710)    
Loss (gain) on sales and disposals of equipment (1,252) (1,303) (1,902)    
Deferred income taxes (2,210) (7,151) (7,342)    
Changes in operating assets and liabilities:          
Accounts receivable (541) (4,443) (5,843)    
Due from (to) affiliates (25,313) 2,162 (3,089)    
Inventories (1,479) (346) (53)    
Other operating assets (404) (806) (715)    
Accounts payable 3,927 995 5,955    
Other operating liabilities 6,747 14,610 (284)    
Net cash provided by operating activities 27,113 53,293 48,717    
Cash flows from investing activities:          
Medical equipment purchases (38,744) (59,537) (75,747)    
Property and office equipment purchases (4,559) (5,834) (9,488)    
Proceeds from disposition of property and equipment 5,675 2,594 3,864    
Acquisitions, net of cash acquired (436) (66,519) (66,519)    
Net cash used in investing activities (38,064) (129,296) (147,890)    
Cash flows from financing activities:          
Proceeds under senior secured credit facility 113,000 132,250 166,250    
Payments under senior secured credit facility (96,200) (185,150) (204,650)    
Payments of principal under capital lease obligations (3,807) (3,223) (4,267)    
Purchase of Refinanced Bonds (405,000)        
Payment of deferred financing costs (9,983) (4,340) (4,458)    
Proceeds from issuance of bonds 425,000 178,938 178,938    
Proceeds from exercise of parent company stock options 150 41 41    
Dividend and equity distribution Payments (763) (32,729) (32,729)    
Tender premium for purchase of notes (9,798)        
Change in book overdrafts (1,648) 755 48    
Accrued interest received from bondholders   661 661    
Net cash provided by financing activities 10,951 87,203 99,173    
Net change in cash and cash equivalents   11,200      
Cash and cash equivalents at the end of period   11,200      
Subsidiary Guarantor Surgical Services
         
Cash flows from operating activities:          
Consolidated net income (loss) (1,372) 900 (1,354)    
Adjustments to reconcile net loss to net cash provided by operating activities:          
Depreciation 3,835 1,448 2,244    
Amortization of intangibles, deferred financing costs and bond premium 2,389 1,354 6,036    
Provision for doubtful accounts 218 (5) (8)    
Provision for inventory obsolescence 17        
Loss (gain) on sales and disposals of equipment 15 6 6    
Deferred income taxes (1,347) 434 (1,386)    
Changes in operating assets and liabilities:          
Accounts receivable (3,089) 115 (827)    
Due from (to) affiliates 25,313 (2,162) 3,089    
Inventories (431) 79 (20)    
Other operating assets 154 47 899    
Accounts payable (749) (182) (597)    
Other operating liabilities (453) 740 892    
Net cash provided by operating activities 24,500 2,774 8,974    
Cash flows from investing activities:          
Medical equipment purchases (3,157) (1,026) (1,814)    
Property and office equipment purchases (224) (27) (69)    
Proceeds from disposition of property and equipment   5 5    
Acquisitions, net of cash acquired (13,982)   (4,931)    
Net cash used in investing activities (17,363) (1,048) (6,809)    
Cash flows from financing activities:          
Payments of principal under capital lease obligations (1,102) (1,063) (1,568)    
Payments on acquired debt (4,163)   (472)    
Cash paid to non controlling interests (571) (291) (451)    
Contributions from new members to limited liability companies   7 7    
Net cash provided by financing activities (5,836) (1,347) (2,484)    
Net change in cash and cash equivalents 1,301 379 (319)    
Cash and cash equivalents at the beginning of period 1,161 1,480 1,480    
Cash and cash equivalents at the end of period 2,462 1,859 1,161    
Consolidating Adjustments
         
Cash flows from investing activities:          
Acquisitions, net of cash acquired   1,480 1,480    
Net cash used in investing activities   1,480 1,480    
Cash flows from financing activities:          
Net change in cash and cash equivalents   1,480 1,480    
Cash and cash equivalents at the beginning of period   $ (1,480) $ (1,480)