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Consolidating Financial Statements - Cash Flows (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Jun. 30, 2016
Jun. 30, 2015
Cash flows from operating activities:        
Consolidated net (loss) income $ (609) $ (1,779) $ (5,249) $ (8,745)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     36,614 38,315
Asset impairment charges       1,703
Amortization of intangibles, deferred financing costs and bond premium     6,011 6,532
Provision for doubtful accounts     130 54
Provision for inventory obsolescence     86 225
Non-cash share-based compensation expense     1,514 1,140
Gain on sales and disposals of equipment     (1,863) (2,522)
Deferred income taxes     120 108
Interest on note receivable     (3)  
Changes in operating assets and liabilities:        
Accounts receivable     (5,301) (3,980)
Inventories     (80) (393)
Other operating assets     (1,100) 669
Accounts payable     (1,338) 2,000
Other operating liabilities     (6,537) 5,119
Net cash provided by operating activities     23,004 40,225
Cash flows from investing activities:        
Medical equipment purchases     (27,412) (27,437)
Property and office equipment purchases     (2,083) (2,433)
Proceeds from disposition of property and equipment     6,944 9,426
Issuance of note receivable from officer     (983)  
Acquisition       (2,600)
Net cash used in investing activities     (23,534) (23,044)
Cash flows from financing activities:        
Proceeds under senior secured credit facility     75,700 63,900
Payments under senior secured credit facility     (74,500) (75,900)
Payments of principal under capital lease obligations     (2,944) (4,154)
Payment of deferred financing costs     (97)  
Holdback payment related to acquisition     (500)  
Distributions to noncontrolling interests     (196) (240)
Contributions from new members to limited liability companies       70
Dividend and equity distribution payments     (24) (39)
Proceeds from exercise of parent company stock options     66  
Change in book overdrafts     3,025 (818)
Net cash provided by (used in) financing activities     530 (17,181)
Consolidating Adjustments        
Cash flows from operating activities:        
Consolidated net (loss) income (901) (573) (1,268) (759)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Equity in earnings of subsidiary 901 573 1,268 759
Changes in operating assets and liabilities:        
Due from affiliates     1,380 1,196
Net cash provided by operating activities     1,380 1,196
Cash flows from financing activities:        
Due to affiliates     (1,380) (1,196)
Net cash provided by (used in) financing activities     (1,380) (1,196)
Parent Issuer UHS        
Cash flows from operating activities:        
Consolidated net (loss) income (609) (1,779) (5,249) (8,745)
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     33,059 34,717
Asset impairment charges       1,703
Amortization of intangibles, deferred financing costs and bond premium     4,304 4,890
Equity in earnings of subsidiary (901) (573) (1,268) (759)
Provision for doubtful accounts     72 28
Provision for inventory obsolescence     126 210
Non-cash share-based compensation expense     1,514 1,140
Gain on sales and disposals of equipment     (1,903) (2,436)
Deferred income taxes     799 1,098
Interest on note receivable     (3)  
Changes in operating assets and liabilities:        
Accounts receivable     (5,110) (3,213)
Due from affiliates     (1,380) (1,196)
Inventories     (859) (410)
Other operating assets     (722) 610
Accounts payable     (522) 1,148
Other operating liabilities     (6,254) 5,788
Net cash provided by operating activities     16,604 34,573
Cash flows from investing activities:        
Medical equipment purchases     (22,647) (25,308)
Property and office equipment purchases     (2,070) (2,417)
Proceeds from disposition of property and equipment     6,940 9,290
Issuance of note receivable from officer     (983)  
Net cash used in investing activities     (18,760) (18,435)
Cash flows from financing activities:        
Proceeds under senior secured credit facility     75,700 63,900
Payments under senior secured credit facility     (74,500) (75,900)
Payments of principal under capital lease obligations     (2,341) (3,635)
Payment of deferred financing costs     (97)  
Dividend and equity distribution payments     (24) (39)
Proceeds from exercise of parent company stock options     66  
Change in book overdrafts     3,352 (464)
Net cash provided by (used in) financing activities     2,156 (16,138)
Subsidiary Guarantor Surgical Services        
Cash flows from operating activities:        
Consolidated net (loss) income $ 901 $ 573 1,268 759
Adjustments to reconcile net loss to net cash provided by operating activities:        
Depreciation     3,555 3,598
Amortization of intangibles, deferred financing costs and bond premium     1,707 1,642
Provision for doubtful accounts     58 26
Provision for inventory obsolescence     (40) 15
Gain on sales and disposals of equipment     40 (86)
Deferred income taxes     (679) (990)
Changes in operating assets and liabilities:        
Accounts receivable     (191) (767)
Inventories     779 17
Other operating assets     (378) 59
Accounts payable     (816) 852
Other operating liabilities     (283) (669)
Net cash provided by operating activities     5,020 4,456
Cash flows from investing activities:        
Medical equipment purchases     (4,765) (2,129)
Property and office equipment purchases     (13) (16)
Proceeds from disposition of property and equipment     4 136
Acquisition       (2,600)
Net cash used in investing activities     (4,774) (4,609)
Cash flows from financing activities:        
Payments of principal under capital lease obligations     (603) (519)
Holdback payment related to acquisition     (500)  
Distributions to noncontrolling interests     (196) (240)
Contributions from new members to limited liability companies       70
Due to affiliates     1,380 1,196
Change in book overdrafts     (327) (354)
Net cash provided by (used in) financing activities     $ (246) $ 153