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Consolidating Financial Statements (Details 4) (USD $)
In Thousands, unless otherwise specified
9 Months Ended
Sep. 30, 2012
Sep. 30, 2011
Cash flows from operating activities:    
Consolidated net income (loss) $ (22,022) $ (14,044)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation 60,435 58,351
Amortization of intangibles, deferred financing costs and bond premium 13,800 13,339
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
Provision for inventory obsolescence 236 99
Non-cash stock-based compensation expense 3,225 3,294
Non-cash gain on trade-in of recalled equipment (15,872) (8,360)
Loss (gain) on sales and disposals of equipment (1,237) (1,297)
Deferred income taxes (3,557) (6,717)
Changes in operating assets and liabilities:    
Accounts receivable (3,630) (4,328)
Inventories (1,910) (267)
Other operating assets (250) (759)
Accounts payable 3,178 813
Other operating liabilities 6,294 15,350
Net cash provided by operating activities 51,613 56,067
Cash flows from investing activities:    
Medical equipment purchases (41,901) (60,563)
Property and office equipment purchases (4,783) (5,861)
Proceeds from disposition of property and equipment 5,675 2,599
Acquisitions, net of cash acquired (14,418) (65,039)
Net cash used in investing activities (55,427) (128,864)
Cash flows from financing activities:    
Proceeds under senior secured credit facility 113,000 132,250
Payments under senior secured credit facility (96,200) (185,150)
Payments of principal under capital lease obligations (4,909) (4,286)
Purchase of Refinanced Bonds (405,000) (4,340)
Payment of deferred financing costs (9,983) (4,340)
Payments on acquired debt (4,163)  
Proceeds from issuance of bonds 425,000 178,938
Cash paid to non controlling interests (571) (291)
Proceeds from exercise of parent company stock options 150 41
Dividend and equity distribution Payments (763) (32,729)
Tender premium for purchase of notes (9,798)  
Change in book overdrafts (1,648) 755
Contributions from new members to limited liability companies   7
Accrued interest received from bondholders   661
Net cash provided by financing activities 5,115 85,856
Net change in cash and cash equivalents 1,301 13,059
Cash and cash equivalents at the beginning of period 1,161  
Cash and cash equivalents at the end of period 2,462 13,059
Parent Issuer UHS
   
Cash flows from operating activities:    
Consolidated net income (loss) (20,650) (14,944)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation 56,600 56,903
Amortization of intangibles, deferred financing costs and bond premium 11,411 11,985
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
Provision for inventory obsolescence 219 99
Non-cash stock-based compensation expense 3,225 3,294
Non-cash gain on trade-in of recalled equipment (15,872) (8,360)
Loss (gain) on sales and disposals of equipment (1,252) (1,303)
Deferred income taxes (2,210) (7,151)
Changes in operating assets and liabilities:    
Accounts receivable (541) (4,443)
Due from (to) affiliates (25,313) 2,162
Inventories (1,479) (346)
Other operating assets (404) (806)
Accounts payable 3,927 995
Other operating liabilities 6,747 14,610
Net cash provided by operating activities 27,113 53,293
Cash flows from investing activities:    
Medical equipment purchases (38,744) (59,537)
Property and office equipment purchases (4,559) (5,834)
Proceeds from disposition of property and equipment 5,675 2,594
Acquisitions, net of cash acquired (436) (66,519)
Net cash used in investing activities (38,064) (129,296)
Cash flows from financing activities:    
Proceeds under senior secured credit facility 113,000 132,250
Payments under senior secured credit facility (96,200) (185,150)
Payments of principal under capital lease obligations (3,807) (3,223)
Purchase of Refinanced Bonds (405,000)  
Payment of deferred financing costs (9,983) (4,340)
Proceeds from issuance of bonds 425,000 178,938
Proceeds from exercise of parent company stock options 150 41
Dividend and equity distribution Payments (763) (32,729)
Tender premium for purchase of notes (9,798)  
Change in book overdrafts (1,648) 755
Accrued interest received from bondholders   661
Net cash provided by financing activities 10,951 87,203
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
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation 3,835 1,448
Amortization of intangibles, deferred financing costs and bond premium 2,389 1,354
Provision for doubtful accounts 218 (5)
Provision for inventory obsolescence 17  
Loss (gain) on sales and disposals of equipment 15 6
Deferred income taxes (1,347) 434
Changes in operating assets and liabilities:    
Accounts receivable (3,089) 115
Due from (to) affiliates 25,313 (2,162)
Inventories (431) 79
Other operating assets 154 47
Accounts payable (749) (182)
Other operating liabilities (453) 740
Net cash provided by operating activities 24,500 2,774
Cash flows from investing activities:    
Medical equipment purchases (3,157) (1,026)
Property and office equipment purchases (224) (27)
Proceeds from disposition of property and equipment   5
Acquisitions, net of cash acquired (13,982)  
Net cash used in investing activities (17,363) (1,048)
Cash flows from financing activities:    
Payments of principal under capital lease obligations (1,102) (1,063)
Payments on acquired debt (4,163)  
Cash paid to non controlling interests (571) (291)
Contributions from new members to limited liability companies   7
Net cash provided by financing activities (5,836) (1,347)
Net change in cash and cash equivalents 1,301 379
Cash and cash equivalents at the beginning of period 1,161 1,480
Cash and cash equivalents at the end of period 2,462 1,859
Consolidating Adjustments
   
Cash flows from investing activities:    
Acquisitions, net of cash acquired   1,480
Net cash used in investing activities   1,480
Cash flows from financing activities:    
Net change in cash and cash equivalents   1,480
Cash and cash equivalents at the beginning of period   $ (1,480)