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UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
Cash flows from operating activities:    
Net (loss) $ (25,314) $ (8,128)
Less: income from discontinued operations, net of income taxes 108 313
(Loss) from continuing operations, net of income taxes (25,422) (8,441)
Adjustments to reconcile (loss) from continuing operations, net of income taxes to net cash provided by (used in) operating activities:    
Depreciation 3,836 2,418
Amortization of intangibles 1,703 2,082
Amortization of Financing Costs and Discounts 1,943 356
Change in fair value of contingent consideration (2,209) 0
Change in deferred income tax 2,708 457
Compensation under stock-based compensation plans 2,886 1,973
Loss on disposal of fixed assets 0 13
Changes in assets and liabilities, net of amounts acquired in acquisitions:    
Receivables, net of bad debt expense (22,903) (17,554)
Inventory (413) 13,199
Prepaid expenses and other assets 1,475 2,501
Accounts payable 4,644 (2,777)
Claims payable 5,365 187
Amounts due to plan sponsors (1,138) 4,152
Accrued interest 134 5,772
Accrued expenses and other liabilities 634 (10,173)
Net cash (used in) operating activities from continuing operations (24,481) (14,139)
Net cash provided by (used in) by operating activities from discontinued operations (1,505) 1,291
Net cash (used in) operating activities (25,986) (12,848)
Cash flows from investing activities:    
Purchases of property and equipment, net (3,060) (3,623)
Cash consideration paid for acquisitions, net of cash acquired 0 (72,325)
Cash consideration paid for unconsolidated affiliate, net of cash acquired 0 (900)
Net cash (used in) investing activities from continuing operations (3,060) (76,848)
Net cash provided by (used in) investing activities from discontinued operations 56,616 (32)
Net cash provided by (used in) investing activities 53,556 (76,880)
Cash flows from financing activities:    
Proceeds from new senior notes due 2021, net of lender fees and other expenses 193,810 0
Deferred and other financing costs (1,211) 0
Borrowings on line of credit 64,600 214,145
Repayments on line of credit (104,603) (187,092)
Principal payments on long-term debt (172,243) 0
Repayments of capital leases (98) (68)
Net proceeds from exercise of employee stock compensation plans 427 642
Net cash provided by (used in) financing activities (19,318) 27,627
Net change in cash and cash equivalents 8,252 (62,101)
Cash and cash equivalents - beginning of period 1,001 62,101
Cash and cash equivalents - end of period 9,253 0
DISCLOSURE OF CASH FLOW INFORMATION:    
Cash paid during the period for interest 8,476 322
Cash paid (received) during the period for income taxes (314) (6)
DISCLOSURE OF NON-CASH TRANSACTIONS:    
Capital lease obligations incurred to acquire property and equipment $ 0 $ 0