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Interim Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
CASH FLOWS FROM OPERATING ACTIVITIES:    
NET INCOME (LOSS) $ 1,333 $ (111)
Discontinued operations (15) (37)
Income (loss) from continuing operations 1,348 (74)
Adjustments to reconcile income (loss) from continuing operations to net cash provided by (used in) operating activities:    
Depreciation and amortization 2,487 2,003
Provision for doubtful accounts 1,970 1,640
Deferred income tax provision (benefit) 354 (35)
Provision for self-insured professional liability, net of cash payments (83) 1,013
Stock-based compensation 241 252
Equity in net income of unconsolidated affiliate, net of investment 0 (33)
Gain on sale of unconsolidated affiliate (733) 0
Debt retirement costs 0 351
Deferred bonus 500 0
Other 32 (254)
Changes in assets and liabilities affecting operating activities:    
Receivables, net (6,518) 2,085
Prepaid expenses and other assets 1,081 (275)
Trade accounts payable and accrued expenses (1,468) (1,438)
Net cash provided by (used in) continuing operations (789) 5,235
Discontinued operations (67) (1,862)
Net cash provided by (used in) operating activities (856) 3,373
CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (2,237) (8,492)
Change in restricted cash 0 1,658
Net cash used in continuing operations (2,237) (6,834)
Discontinued operations 0 0
Net cash used in investing activities (2,237) (6,834)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt obligations (9,193) (57,885)
Proceeds from issuance of debt 12,567 62,566
Financing costs (10) (1,833)
Issuance and redemption of employee equity awards (94) (95)
Payment of common stock dividends (346) (342)
Payment for preferred stock restructuring (163) (158)
Net cash provided by financing activities 2,761 2,253
Discontinued operations 0 0
Net cash provided by financing activities 2,761 2,253
NET DECREASE IN CASH AND CASH EQUIVALENTS (332) (1,208)
CASH AND CASH EQUIVALENTS, beginning of period 4,263 4,585
CASH AND CASH EQUIVALENTS, end of period 3,931 3,377
SUPPLEMENTAL INFORMATION:    
Cash payments of interest 1,231 919
Cash payments of income taxes $ 6 $ 229