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UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Cash flows from operating activities:    
Net loss $ (83,842) $ (51,095)
Less: (loss) from discontinued operations, net of income taxes (2,400) (9,680)
(Loss) from continuing operations, net of income taxes (81,442) (41,415)
Adjustments to reconcile (loss) from continuing operations, net of income taxes to net cash provided by (used in) operating activities:    
Depreciation 11,999 8,169
Amortization of intangibles 4,943 4,801
Amortization of deferred financing costs and debt discount 3,607 1,410
Change in fair value of contingent consideration (6,941) (412)
Change in deferred income taxes 8,218 1,393
Compensation under stock-based compensation plans 6,637 7,260
Loss on extinguishment of debt 0 15,898
Equity in net loss of unconsolidated affiliate 0 661
Changes in assets and liabilities, net of amounts acquired in acquisitions:    
Receivables, net of bad debt expense 827 (20,655)
Inventory 486 8,875
Prepaid expenses and other assets 5,774 830
Accounts payable 10,837 8,041
Claims payable 6,092 (5,275)
Amounts due to plan sponsors (2,417) 10,254
Accrued interest 436 (3,832)
Accrued expenses and other liabilities (561) (4,435)
Net cash (used in) operating activities from continuing operations (26,671) (28,940)
Net cash (used in) operating activities from discontinued operations (5,074) (9,322)
Net cash (used in) operating activities (31,745) (38,262)
Cash flows from investing activities:    
Purchases of property and equipment, net (11,319) (19,881)
Cash consideration paid for acquisitions, net of cash acquired (454) (285,039)
Net cash proceeds from sale of unconsolidated affiliate 0 8,509
Cash advances to unconsolidated affiliate 0 (2,348)
Net cash (used in) investing activities from continuing operations (11,773) (298,759)
Net cash provided by (used in) investing activities from discontinued operations 57,677 (48)
Net cash provided by (used in) investing activities 45,904 (298,807)
Cash flows from financing activities:    
Proceeds from public stock offering 0 118,570
Repayment of 10 1/4% senior unsecured notes 0 (237,397)
Deferred and other financing costs (2,115) 0
Borrowings on line of credit 205,700 379,896
Repayments on line of credit (241,203) (364,859)
Principal payments on long-term debt (172,243) 0
Repayments of capital leases (248) (809)
Net proceeds from exercise of common stock purchase warrants 0 399
Net proceeds from exercise of employee stock compensation plans 1,098 1,885
Net cash provided by (used in) financing activities (15,160) 274,968
Net change in cash and cash equivalents (1,001) (62,101)
Cash and cash equivalents - beginning of period 1,001 62,101
Cash and cash equivalents - end of period 0 0
DISCLOSURE OF CASH FLOW INFORMATION:    
Cash paid during the period for interest 25,328 22,598
Cash paid during the period for income taxes 1,692 242
Senior Notes due 2021
   
Cash flows from financing activities:    
Proceeds from new senior notes due 2021, net of lender fees and other expenses 193,851 0
Credit Facility
   
Cash flows from financing activities:    
Proceeds from new senior notes due 2021, net of lender fees and other expenses $ 0 $ 377,283