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Interim Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Thousands, unless otherwise specified
6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net income (loss) $ (1,809) $ 3,375
Discontinued operations (143) (10)
Net income (loss) from continuing operations (1,666) 3,385
Adjustments to reconcile net income (loss) from continuing operations to net cash provided by operating activities:    
Depreciation and amortization 3,649 3,121
Provision for doubtful accounts 1,688 1,194
Deferred income tax provision (benefit) (998) 1,073
Provision for self-insured professional liability, net of cash payments 1,307 6
Stock based compensation 253 403
Other 186 388
Changes in other assets and liabilities affecting operating activities:    
Receivables, net (1,359) (4,897)
Prepaid expenses and other assets 698 (32)
Trade accounts payable and accrued expenses (222) 2,167
Net cash provided by continuing operations 3,536 6,803
Discontinued operations 62 (5)
Net cash provided by operating activities 3,598 6,803
CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (2,211) (5,553)
Investment in nonconsolidated affiliate (318)   
Change in restricted cash 605 (1,732)
Deposits and other deferred balances (221) (28)
Net cash used in investing activities (2,145) (7,313)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt obligations (659) (22,709)
Proceeds from issuance of debt and capital leases 634 24,781
Financing costs (118) (796)
Issuance and redemption of employee equity awards 58 198
Payment of common stock dividends (639) (636)
Payment of preferred stock dividends (172) (172)
Contributions from (distributions to) noncontrolling interests (102) 39
Payment for preferred stock restructuring (279) (271)
Net cash provided by (used in) financing activities (1,277) 434
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 176 (76)
CASH AND CASH EQUIVALENTS, beginning of period 6,692 8,862
CASH AND CASH EQUIVALENTS, end of period 6,868 8,786
SUPPLEMENTAL INFORMATION:    
Cash payments of interest, net of amounts capitalized 1,175 833
Cash payments of income taxes $ 141 $ 482