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INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
CASH FLOWS FROM OPERATING ACTIVITIES:    
NET LOSS $ (7,811) $ 1,106
Discontinued operations (34) (42)
Income (loss) from continuing operations (7,777) 1,148
Adjustments to reconcile income (loss) from continuing operations to net cash provided by operating activities:    
Depreciation and amortization 8,692 8,095
Provision for doubtful accounts 0 6,407
Deferred income tax provision (benefit) (829) 52
Provision for self-insured professional liability, net of cash payments 2,224 (168)
Litigation contingency expense 6,400 0
Stock-based compensation 947 766
Gain on sale of unconsolidated affiliate (308) (733)
Provision for leases in excess of cash payments (1,363) (517)
Deferred bonus 0 700
Other 250 388
Changes in assets and liabilities affecting operating activities:    
Receivables, net (2,134) (8,387)
Prepaid expenses and other assets (2,379) 459
Trade accounts payable and accrued expenses 2,391 1,977
Net cash provided by continuing operations 6,114 10,187
Discontinued operations (645) (241)
Net cash provided by operating activities 5,469 9,946
CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (5,964) (8,638)
Property acquisitions 0 (8,750)
Proceeds from sale of unconsolidated affiliate 308 1,100
Net cash used in continuing operations (5,656) (16,288)
Discontinued operations 0 0
Net cash used in investing activities (5,656) (16,288)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt obligations (15,330) (24,381)
Proceeds from issuance of debt 17,203 31,574
Financing costs (137) (195)
Issuance and redemption of employee equity awards (219) (94)
Payment of common stock dividends (1,053) (1,038)
Payment for preferred stock restructuring (508) (492)
Net cash (used in) provided by financing activities (44) 5,374
Discontinued operations 0 0
Net cash (used in) provided by financing activities (44) 5,374
NET DECREASE IN CASH AND CASH EQUIVALENTS (231) (968)
CASH AND CASH EQUIVALENTS, beginning of period 3,524 4,263
CASH AND CASH EQUIVALENTS, end of period 3,293 3,295
SUPPLEMENTAL INFORMATION:    
Cash payments of interest 4,511 3,989
Cash payments of income taxes 474 667
Cash Flow, Noncash Investing and Financing Activities Disclosure [Abstract]    
Acquisition of equipment through capital lease $ 203 $ 507