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CONSOLIDATED BALANCE SHEETS (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
Current Assets:    
Cash and cash equivalents $ 10,735us-gaap_CashAndCashEquivalentsAtCarryingValue $ 19,374us-gaap_CashAndCashEquivalentsAtCarryingValue
Restricted cash and investments 3,321us-gaap_RestrictedCashAndInvestmentsCurrent 3,801us-gaap_RestrictedCashAndInvestmentsCurrent
Accounts receivable, net of allowance of $6,708 and $4,989 24,294us-gaap_AccountsReceivableNetCurrent 23,598us-gaap_AccountsReceivableNetCurrent
Prepaid expenses and other 1,766us-gaap_PrepaidExpenseAndOtherAssetsCurrent 483us-gaap_PrepaidExpenseAndOtherAssetsCurrent
Deferred tax asset 569us-gaap_DeferredTaxAssetsLiabilitiesNetCurrent 0us-gaap_DeferredTaxAssetsLiabilitiesNetCurrent
Assets of disposal group held for sale 5,813us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent 400us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent
Assets of disposal group held for use 0adk_DisposalGroupIncludingDiscontinuedOperationOtherAssetsHeldforUse 5,135adk_DisposalGroupIncludingDiscontinuedOperationOtherAssetsHeldforUse
Assets of variable interest entity held for sale 5,924adk_AssetsofVariableInterestEntityHeldForSaleCurrent 5,945adk_AssetsofVariableInterestEntityHeldForSaleCurrent
Total current assets 52,422us-gaap_AssetsCurrent 58,736us-gaap_AssetsCurrent
Restricted cash and investments 5,456us-gaap_RestrictedCashAndInvestmentsNoncurrent 11,606us-gaap_RestrictedCashAndInvestmentsNoncurrent
Property and equipment, net 135,585us-gaap_PropertyPlantAndEquipmentNet 138,233us-gaap_PropertyPlantAndEquipmentNet
Intangible assets—bed licenses 2,471us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill 2,471us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
Intangible assets—lease rights, net 4,087us-gaap_FiniteLivedIntangibleAssetsNet 4,889us-gaap_FiniteLivedIntangibleAssetsNet
Goodwill 4,224us-gaap_Goodwill 4,224us-gaap_Goodwill
Lease deposits 1,683us-gaap_SecurityDeposit 1,715us-gaap_SecurityDeposit
Deferred loan costs, net 3,464us-gaap_DeferredFinanceCostsNoncurrentNet 4,542us-gaap_DeferredFinanceCostsNoncurrentNet
Other assets 569us-gaap_OtherAssetsNoncurrent 12us-gaap_OtherAssetsNoncurrent
Total assets 209,961us-gaap_Assets 226,428us-gaap_Assets
Current Liabilities:    
Current portion of notes payable and other debt 2,537us-gaap_NotesAndLoansPayableCurrent 12,027us-gaap_NotesAndLoansPayableCurrent
Current portion of convertible debt, net of discounts 14,000us-gaap_ConvertibleDebtCurrent 11,389us-gaap_ConvertibleDebtCurrent
Revolving credit facilities and lines of credit 5,576us-gaap_LinesOfCreditCurrent 2,738us-gaap_LinesOfCreditCurrent
Accounts payable 16,434us-gaap_AccountsPayableCurrent 23,783us-gaap_AccountsPayableCurrent
Accrued expenses 15,653us-gaap_AccruedLiabilitiesCurrent 13,264us-gaap_AccruedLiabilitiesCurrent
Liabilities of disposal group held for sale 5,197us-gaap_LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent 0us-gaap_LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent
Liabilities of variable interest entity held for sale 5,956adk_LiabilitiesofVariableInterestEntityHeldForSaleCurrent 6,034adk_LiabilitiesofVariableInterestEntityHeldForSaleCurrent
Total current liabilities 65,353us-gaap_LiabilitiesCurrent 69,235us-gaap_LiabilitiesCurrent
Notes payable and other debt, net of current portion:    
Senior debt, net of discounts 110,023us-gaap_SeniorLongTermNotes 107,858us-gaap_SeniorLongTermNotes
Bonds, net of discounts 7,011adk_LongTermBondNonCurrent 6,996adk_LongTermBondNonCurrent
Convertible debt, net of discounts 0us-gaap_ConvertibleDebtNoncurrent 7,500us-gaap_ConvertibleDebtNoncurrent
Revolving credit facilities 1,059us-gaap_LongTermLineOfCredit 5,765us-gaap_LongTermLineOfCredit
Other liabilities 2,129us-gaap_OtherLiabilitiesNoncurrent 1,589us-gaap_OtherLiabilitiesNoncurrent
Deferred tax liability 605us-gaap_DeferredTaxLiabilitiesGrossNoncurrent 191us-gaap_DeferredTaxLiabilitiesGrossNoncurrent
Total liabilities 186,180us-gaap_Liabilities 199,134us-gaap_Liabilities
Commitments and contingencies (Note 16)      
Preferred stock, no par value; 5,000 and 5,000 shares authorized; 950 and 950 shares issued and outstanding, redemption amount $23,750 and $23,750 at December 31, 2014 and 2013, respectively 20,392us-gaap_PreferredStockValue 20,442us-gaap_PreferredStockValue
Stockholders' equity:    
Common stock and additional paid-in capital, no par value; 55,000 shares authorized; 19,151 and 16,016 shares issued and outstanding at December 31, 2014 and 2013, respectively 61,896us-gaap_CommonStocksIncludingAdditionalPaidInCapital 48,370us-gaap_CommonStocksIncludingAdditionalPaidInCapital
Accumulated deficit (56,067)us-gaap_RetainedEarningsAccumulatedDeficit (39,884)us-gaap_RetainedEarningsAccumulatedDeficit
Total stockholders' equity 5,829us-gaap_StockholdersEquity 8,486us-gaap_StockholdersEquity
Noncontrolling interest in subsidiary (2,440)us-gaap_MinorityInterest (1,634)us-gaap_MinorityInterest
Total equity 3,389us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest 6,852us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
Total liabilities and equity $ 209,961us-gaap_LiabilitiesAndStockholdersEquity $ 226,428us-gaap_LiabilitiesAndStockholdersEquity