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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Cash flows from operating activities:    
Net loss $ (9,210,000) $ (4,232,000)
Adjustments to reconcile net loss to net cash used in operating activities:    
Non-cash stock-based compensation expense 426,000 366,000
Intangible asset impairment 520,000  
Depreciation and amortization 857,000 628,000
(Gain) loss on warrant liability, net of deferred loan fees amortization (489,000) 24,000
Gain on cancellation of acquisition promissory note (289,000)  
Deferred income taxes   (227,000)
Change in deferred rent 134,000  
Changes in operating assets and liabilities, net of effects of acquisitions:    
Accounts receivable 1,235,000 (650,000)
Prepaid expenses and other assets 170,000 (235,000)
Due to ancillary network 592,000 263,000
Accounts payable 175,000 391,000
Accrued liabilities 187,000 576,000
Net cash used in operating activities (5,923,000) (3,096,000)
Cash flows from investing activities:    
Cost of acquisitions   (5,030,000)
Additions to property and equipment (193,000) (422,000)
Net cash used in investing activities (193,000) (5,452,000)
Cash flows from financing activities:    
Proceeds from issuance of common stock and option exercises 33,000 2,000,000
Proceeds from borrowings under lines of credit 6,084,000 2,834,000
Principal payments on capital lease obligations (85,000) (14,000)
Principal payments on long-term debt (661,000) (17,000)
Offering costs, paid and deferred (78,000)  
Net cash provided by financing activities 5,293,000 4,803,000
Net decrease in cash and cash equivalents (823,000) (3,745,000)
Cash and cash equivalents at beginning of period 1,020,000 6,207,000
Cash and cash equivalents at end of period 197,000 2,462,000
Supplemental cash flow information:    
Cash paid (received) for taxes, net of refunds (6,000) 25,000
Cash paid for interest 280,000 36,000
Supplemental non-cash operating and financing activity:    
Offering costs, unpaid and deferred 7,000  
Reclassified property and equipment from prepaid expenses 51,000  
Warrants issued as deferred financing costs 347,000 1,690,000
Debt issued as consideration in business combination   $ 1,308,000
Due to Healthsmart [Member]    
Changes in operating assets and liabilities, net of effects of acquisitions:    
Due to ancillary network $ (231,000)