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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Jun. 30, 2013
Jun. 30, 2012
Cash Flows from Operating Activities        
Net income $ 16,563 $ 7,841 $ 19,679 $ 13,633
Adjustments to reconcile net income to net cash provided by operating activities:        
Depreciation and amortization 38,514 34,899 76,886 69,623
Gain on disposal of property, plant and equipment (49) (68) (10) (64)
Equity-based compensation expense 1,062 1,062 2,124 2,124
Excess tax benefits from equity-based compensation (3,160)   (3,168)  
Loss on early debt extinguishment   5,172 122 5,172
Equity in earnings of unconsolidated subsidiary (87) (105) (162) (214)
Dividends received     556 611
Noncontrolling interest in earnings   130    
Deferred income taxes 2,897 107 2,157 207
Payment of dissenting shareholder settlement (13,717)   (13,717)  
Changes in operating assets/liabilities, net of acquisitions:        
Trade and other accounts receivable (15,170) (7,482) (56,521) (42,829)
Parts and supplies inventory (104) 437 (154) 388
Prepaids and other current assets (6,940) (6,809) (9,488) (6,537)
Accounts payable and accrued liabilities (13,900) (19,844) (1,606) 26,205
Insurance accruals 766 (2,260) (3,452) (5,188)
Net cash provided by operating activities 6,675 13,080 13,246 63,131
Cash Flows from Investing Activities        
Purchases of property, plant and equipment (15,705) (12,475) (26,198) (25,185)
Proceeds from sale of property, plant and equipment 131 1,378 328 1,451
Acquisition of businesses, net of cash received   (300) (1,423) (1,300)
Net change in insurance collateral (8,053) 53,847 (402) 108,374
Other investing activities 650 509 (52) (2,296)
Net cash (used in) provided by investing activities (22,977) 42,959 (27,747) 81,044
Cash Flows from Financing Activities        
Envision Healthcare Corporation issuance of class A common stock 426   1,117  
Borrowings under senior secured term loan facility     150,000  
Repayments of senior secured term loan facility and other debt (3,372)   (7,044) (172,474)
Net borrowings (payments) under ABL credit facility 27,500 (168,825) (97,500) (172,474)
Debt issue costs (596)   (5,007) (95)
Repayment of equity   (130)   (130)
Excess tax benefits from equity-based compensation 3,160   3,168  
Proceeds from noncontrolling interest   3,826   6,530
Dividend paid (20,813)   (20,813)  
Payment of dissenting shareholder settlement (38,336)   (38,336)  
Net change in bank overdrafts 5,234 3,927 8,117 12,169
Net cash used in financing activities (26,797) (161,202) (6,298) (154,000)
Change in cash and cash equivalents (43,099) (105,163) (20,799) (9,825)
Cash and cash equivalents, beginning of period 79,851 229,361 57,551 134,023
Cash and cash equivalents, end of period $ 36,752 $ 124,198 $ 36,752 $ 124,198