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Consolidating Financial Statements (Details 4) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Jun. 30, 2013
Jun. 30, 2012
Cash flows from operating activities:        
Consolidated net income (loss)     $ (22,886) $ (632)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     41,675 39,673
Amortization of intangibles, deferred financing costs and bond premium     8,227 9,312
Non-cash write off of deferred financing cost     1,853  
Provision for doubtful accounts     1,033 392
Provision for inventory obsolescence     95 182
Non-cash share-based compensation expense - net     195 2,150
Non-cash gain on trade-in of recalled equipment       (14,122)
Loss (gain) on sales and disposals of equipment     (801) (695)
Deferred income taxes     676 (1,450)
Changes in operating assets and liabilities:        
Accounts receivable     (321) (9,372)
Inventories     (921) (1,678)
Other operating assets     (792) (2,001)
Accounts payable     (1,465) (608)
Other operating liabilities     3,639 (3,477)
Net cash provided by operating activities     30,207 17,674
Cash flows from investing activities:        
Medical equipment purchases     (28,478) (32,082)
Property and office equipment purchases     (4,178) (3,637)
Proceeds from disposition of property and equipment     1,929 3,935
Holdback payment related to acquisition     (1,655)  
Acquisitions, net of cash acquired       (11,445)
Net cash used in investing activities     (32,382) (43,229)
Cash flows from financing activities:        
Proceeds under senior secured credit facility     43,300 72,000
Payments under senior secured credit facility     (36,800) (39,000)
Payments of principal under capital lease obligations     (4,150) (3,398)
Payments of floating rate notes     (230,000)  
Payoff of acquired debt       (3,163)
Proceeds from issuance of bonds     234,025  
Accrued interest received from bondholders     8,620  
Accrued interest paid to bondholders     (8,620)  
Distributions to noncontrolling interests     (379) (373)
Proceeds from exercise of parent company stock options       150
Dividend and equity distribution payments       (763)
Payment of deferred financing costs     (4,102)  
Change in book overdrafts     281 (727)
Net cash provided by financing activities     2,175 24,726
Net change in cash and cash equivalents       (829)
Cash and cash equivalents at the beginning of period       1,161
Cash and cash equivalents at the end of period   332   332
Parent Issuer UHS
       
Cash flows from operating activities:        
Consolidated net income (loss)     (22,886) 576
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     38,393 37,140
Amortization of intangibles, deferred financing costs and bond premium     6,548 7,764
Non-cash write off of deferred financing cost     1,853  
Equity in loss of subsidiary 553 1,299 1,149 1,208
Provision for doubtful accounts     1,128 323
Provision for inventory obsolescence     112 182
Non-cash share-based compensation expense - net     120 2,150
Non-cash gain on trade-in of recalled equipment       (14,122)
Loss (gain) on sales and disposals of equipment     (783) (700)
Deferred income taxes     1,889 (666)
Changes in operating assets and liabilities:        
Accounts receivable     (694) (7,276)
Inventories     (492) (1,145)
Other operating assets     (853) (1,745)
Accounts payable     (588) 471
Other operating liabilities     3,515 (1,992)
Net cash provided by operating activities     28,411 20,960
Cash flows from investing activities:        
Medical equipment purchases     (25,487) (30,007)
Property and office equipment purchases     (4,042) (3,450)
Proceeds from disposition of property and equipment     1,909 3,935
Acquisitions, net of cash acquired       (436)
Net cash used in investing activities     (27,620) (29,958)
Cash flows from financing activities:        
Due from (to) affiliates     (3,587) (20,060)
Proceeds under senior secured credit facility     43,300 72,000
Payments under senior secured credit facility     (36,800) (39,000)
Payments of principal under capital lease obligations     (3,486) (2,602)
Payments of floating rate notes     (230,000)  
Proceeds from issuance of bonds     234,025  
Accrued interest received from bondholders     8,620  
Accrued interest paid to bondholders     (8,620)  
Proceeds from exercise of parent company stock options       150
Dividend and equity distribution payments       (763)
Payment of deferred financing costs     (4,102)  
Change in book overdrafts     (141) (727)
Net cash provided by financing activities     (791) 8,998
Subsidiary Guarantor Surgical Services
       
Cash flows from operating activities:        
Consolidated net income (loss)     (1,149) (1,208)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     3,282 2,533
Amortization of intangibles, deferred financing costs and bond premium     1,679 1,548
Provision for doubtful accounts     (95) 69
Provision for inventory obsolescence     (17)  
Non-cash share-based compensation expense - net     75  
Loss (gain) on sales and disposals of equipment     (18) 5
Deferred income taxes     (1,213) (784)
Changes in operating assets and liabilities:        
Accounts receivable     373 (2,096)
Inventories     (429) (533)
Other operating assets     61 (256)
Accounts payable     (877) (1,079)
Other operating liabilities     124 (1,485)
Net cash provided by operating activities     1,796 (3,286)
Cash flows from investing activities:        
Medical equipment purchases     (2,991) (2,075)
Property and office equipment purchases     (136) (187)
Proceeds from disposition of property and equipment     20  
Holdback payment related to acquisition     (1,655)  
Acquisitions, net of cash acquired       (11,009)
Net cash used in investing activities     (4,762) (13,271)
Cash flows from financing activities:        
Due from (to) affiliates     3,587 20,060
Payments of principal under capital lease obligations     (664) (796)
Payoff of acquired debt       (3,163)
Distributions to noncontrolling interests     (379) (373)
Change in book overdrafts     422  
Net cash provided by financing activities     2,966 15,728
Net change in cash and cash equivalents       (829)
Cash and cash equivalents at the beginning of period       1,161
Cash and cash equivalents at the end of period   332   332
Consolidating Adjustments
       
Cash flows from operating activities:        
Consolidated net income (loss)     1,149  
Adjustments to reconcile net loss to net cash provided by operating activities:        
Equity in loss of subsidiary $ (553) $ (1,299) $ (1,149) $ (1,208)