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UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Cash flows from operating activities:    
Net loss $ (264,481) $ (45,132)
Less: loss from discontinued operations, net of income taxes (5,412) (1,265)
Loss from continuing operations, net of income taxes (259,069) (43,867)
Adjustments to reconcile loss from continuing operations, net of income taxes to net cash provided by (used in) operating activities:    
Depreciation 8,434 7,794
Amortization of intangibles 2,979 3,323
Impairment of goodwill 238,000 0
Amortization of deferred financing costs and debt discount 1,792 2,745
Change in fair value of contingent consideration (72) (6,855)
Change in deferred income taxes (15,834) 6,358
Compensation under stock-based compensation plans 2,819 4,884
Loss on disposal of fixed assets 628 0
Changes in assets and liabilities, net of acquired business:    
Receivables, net of bad debt expense 10,299 (19,019)
Inventory (5,149) (58)
Prepaid expenses and other assets (613) 3,745
Accounts payable (12,912) 6,105
Claims payable (3,346) 1,475
Amounts due to plan sponsors (1,524) 816
Accrued interest (148) 4,764
Accrued expenses and other liabilities (8,335) 1,116
Net cash used in operating activities from continuing operations (42,051) (26,674)
Net cash used in operating activities from discontinued operations (4,110) (4,304)
Net cash used in operating activities (46,161) (30,978)
Cash flows from investing activities:    
Purchases of property and equipment, net (5,797) (6,925)
Cash consideration paid for acquisitions, net of cash acquired 0 (454)
Net cash used in investing activities from continuing operations (5,797) (7,379)
Net cash provided by investing activities from discontinued operations 0 57,688
Net cash provided by (used in) investing activities (5,797) 50,309
Cash flows from financing activities:    
Proceeds from issuance of convertible preferred stock and warrants, net of issuance costs 58,951 0
Proceeds from senior notes due 2021, net of fees paid to lenders 0 193,868
Deferred and other financing costs (1,218) (1,161)
Borrowings on line of credit 129,163 85,400
Repayments on line of credit (134,163) (125,403)
Principal payments on long-term debt 0 (172,243)
Repayments of capital leases (345) (151)
Net proceeds from exercise of employee stock compensation plans 2 905
Net cash provided by (used in) financing activities from continuing operations 52,390 (18,785)
Net change in cash and cash equivalents 432 546
Cash and cash equivalents - beginning of period 740 1,001
Cash and cash equivalents - end of period 1,172 1,547
DISCLOSURE OF CASH FLOW INFORMATION:    
Cash paid during the period for interest 18,391 12,232
Cash paid during the period for income taxes $ 515 $ 349