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UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Cash flows from operating activities:    
Net loss $ (19,673)us-gaap_NetIncomeLoss $ (25,314)us-gaap_NetIncomeLoss
Less: loss from discontinued operations, net of income taxes (3,768)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity (58)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity
Loss from continuing operations, net of income taxes (15,905)us-gaap_IncomeLossFromContinuingOperations (25,256)us-gaap_IncomeLossFromContinuingOperations
Adjustments to reconcile (loss) from continuing operations, net of income taxes to net cash provided by (used in) operating activities:    
Depreciation 4,304us-gaap_Depreciation 3,836us-gaap_Depreciation
Amortization of intangibles 1,490us-gaap_AmortizationOfIntangibleAssets 1,703us-gaap_AmortizationOfIntangibleAssets
Amortization of deferred financing costs and debt discount 780us-gaap_AmortizationOfFinancingCostsAndDiscounts 1,943us-gaap_AmortizationOfFinancingCostsAndDiscounts
Change in fair value of contingent consideration 21bios_IncreaseDecreaseinFairValueofContingentConsideration (2,209)bios_IncreaseDecreaseinFairValueofContingentConsideration
Change in deferred income taxes 1,927us-gaap_IncreaseDecreaseInDeferredIncomeTaxes 2,708us-gaap_IncreaseDecreaseInDeferredIncomeTaxes
Compensation under stock-based compensation plans 1,657us-gaap_ShareBasedCompensation 2,886us-gaap_ShareBasedCompensation
Changes in assets and liabilities, net of acquired business:    
Receivables, net of bad debt expense 4,149us-gaap_IncreaseDecreaseInReceivables (22,903)us-gaap_IncreaseDecreaseInReceivables
Inventory (4,666)us-gaap_IncreaseDecreaseInInventories (413)us-gaap_IncreaseDecreaseInInventories
Prepaid expenses and other assets (838)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets 1,475us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Accounts payable 1,077us-gaap_IncreaseDecreaseInAccountsPayableTrade 4,644us-gaap_IncreaseDecreaseInAccountsPayableTrade
Claims payable (2,386)us-gaap_IncreaseDecreaseInFuturePolicyBenefitReserves 5,365us-gaap_IncreaseDecreaseInFuturePolicyBenefitReserves
Amounts due to plan sponsors 1,575bios_IncreaseDecreaseinAmountsDueToPlanSponsor (1,138)bios_IncreaseDecreaseinAmountsDueToPlanSponsor
Accrued interest (4,585)us-gaap_IncreaseDecreaseInInterestPayableNet 134us-gaap_IncreaseDecreaseInInterestPayableNet
Accrued expenses and other liabilities (9,729)us-gaap_IncreaseDecreaseInOtherAccountsPayableAndAccruedLiabilities 634us-gaap_IncreaseDecreaseInOtherAccountsPayableAndAccruedLiabilities
Net cash (used in) operating activities from continuing operations (24,279)us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations (24,315)us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
Net cash (used in) operating activities from discontinued operations (3,768)us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations (1,671)us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
Net cash (used in) operating activities (28,047)us-gaap_NetCashProvidedByUsedInOperatingActivities (25,986)us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:    
Purchases of property and equipment, net (2,066)us-gaap_PaymentsForProceedsFromProductiveAssets (3,060)us-gaap_PaymentsForProceedsFromProductiveAssets
Net cash (used in) investing activities from continuing operations (2,066)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (3,060)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
Net cash provided by investing activities from discontinued operations 0us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations 56,616us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
Net cash provided by (used in) investing activities (2,066)us-gaap_NetCashProvidedByUsedInInvestingActivities 53,556us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:    
Proceeds from issuance of convertible preferred stock and warrants, net of issuance costs 58,951bios_ProceedsfromIssuanceofConvertiblePreferredStockandWarrants 0bios_ProceedsfromIssuanceofConvertiblePreferredStockandWarrants
Proceeds from senior notes due 2021, net of fees paid to lenders 0us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt 193,810us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt
Deferred and other financing costs (1,218)us-gaap_PaymentsOfFinancingCosts (1,211)us-gaap_PaymentsOfFinancingCosts
Borrowings on line of credit 74,963us-gaap_ProceedsFromLongTermLinesOfCredit 64,600us-gaap_ProceedsFromLongTermLinesOfCredit
Repayments on line of credit (79,963)us-gaap_RepaymentsOfLongTermLinesOfCredit (104,603)us-gaap_RepaymentsOfLongTermLinesOfCredit
Principal payments on long-term debt 0us-gaap_ProceedsFromRepaymentsOfSecuredDebt (172,243)us-gaap_ProceedsFromRepaymentsOfSecuredDebt
Repayments of capital leases (114)us-gaap_RepaymentsOfLongTermCapitalLeaseObligations (98)us-gaap_RepaymentsOfLongTermCapitalLeaseObligations
Net proceeds from exercise of employee stock compensation plans 0us-gaap_ProceedsFromStockOptionsExercised 427us-gaap_ProceedsFromStockOptionsExercised
Net cash provided by (used in) financing activities from continuing operations 52,619us-gaap_NetCashProvidedByUsedInFinancingActivities (19,318)us-gaap_NetCashProvidedByUsedInFinancingActivities
Net change in cash and cash equivalents 22,506us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 8,252us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents - beginning of period 740us-gaap_CashAndCashEquivalentsAtCarryingValue 1,001us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents - end of period 23,246us-gaap_CashAndCashEquivalentsAtCarryingValue 9,253us-gaap_CashAndCashEquivalentsAtCarryingValue
DISCLOSURE OF CASH FLOW INFORMATION:    
Cash paid during the period for interest 13,748us-gaap_InterestPaidNet 8,476us-gaap_InterestPaidNet
Cash paid during the period for income taxes $ 528us-gaap_IncomeTaxesPaidNet $ (314)us-gaap_IncomeTaxesPaidNet