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Note 14. Condensed Consolidating Financial Information of Guarantor Subsidiaries (Detail) - Condensed Consolidating Statement of Cash Flows (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Net cash provided by operating activities $ 39,543 $ 18,303 $ 4,177
Investing activities:      
Cash paid for acquisitions, net (322,248) (115,225) (25,707)
Purchases of equipment and leasehold improvements, net (6,856) (1,730) (1,559)
Working capital and other settlements for acquisitions (6,710) 418 1,491
Net cash provided by (used in) investing activities (335,814) (116,537) (25,775)
Financing activities:      
Borrowings under credit facilities 278,000 67,315 40,134
Borrowings under senior unsecured notes payable 250,000    
Net borrowings under working capital facilities 35,621 4,997  
Excess tax benefit related to share-based compensation   974  
Proceeds from the exercise of options and warrants 2,292 703  
Issuance of preferred stock, net   32,421  
Issuance of common stock, net   136,660 560
Repayments of related party notes   (3,500) 3,500
Repayment of subordinated unsecured notes payable (2,421) (2,167) (345)
Purchases of stock for treasury (9,421)    
Payment of deferred financing costs (9,746) (6,534) (1,817)
Repayment under credit facilities (273,000) (100,550) (20,138)
Other (440)    
Net cash provided by (used in) financing activities 270,885 130,319 21,894
Exchange rate impact on cash and cash equivalents 178 40  
Net increase (decrease) in cash and cash equivalents (25,208) 32,125 296
Cash and cash equivalents, beginning of year 33,624 1,499 1,203
Cash and cash equivalents, end of year 8,416 33,624 1,499
Parent Corporation And Guarantor Subsidiaries [Member]
     
Net cash provided by operating activities 33,994 [1] 14,565 [1]  
Investing activities:      
Cash paid for acquisitions, net (320,496) [1] (115,331) [1]  
Purchases of equipment and leasehold improvements, net (6,048) [1] (1,728) [1]  
Working capital and other settlements for acquisitions (5,007) [1] 418 [1]  
Net cash provided by (used in) investing activities (331,551) [1] (116,641) [1]  
Financing activities:      
Borrowings under credit facilities 278,000 [1] 67,315 [1]  
Borrowings under senior unsecured notes payable 250,000 [1]    
Net borrowings under working capital facilities 37,145 [1] 6,447 [1]  
Excess tax benefit related to share-based compensation   974 [1]  
Proceeds from the exercise of options and warrants 2,292 [1] 703 [1]  
Issuance of preferred stock, net   32,421 [1]  
Issuance of common stock, net   136,660 [1]  
Repayments of related party notes   (3,500) [1]  
Repayment of subordinated unsecured notes payable (2,421) [1] (2,167) [1]  
Purchases of stock for treasury (9,421) [1]    
Payment of deferred financing costs (9,746) [1] (6,534) [1]  
Repayment under credit facilities (273,000) [1] (100,550) [1]  
Other (440) [1]    
Net cash provided by (used in) financing activities 272,409 [1] 131,769 [1]  
Exchange rate impact on cash and cash equivalents    [1]    [1]  
Net increase (decrease) in cash and cash equivalents (25,148) [1] 29,693 [1]  
Cash and cash equivalents, beginning of year 31,192 [1] 1,499 [1]  
Cash and cash equivalents, end of year 6,044 [1] 31,192 [1]  
Non-Guarantor Subsidiaries [Member]
     
Net cash provided by operating activities 5,549 3,738  
Investing activities:      
Cash paid for acquisitions, net (1,752) 106  
Purchases of equipment and leasehold improvements, net (808) (2)  
Working capital and other settlements for acquisitions (1,703)    
Net cash provided by (used in) investing activities (4,263) 104  
Financing activities:      
Net borrowings under working capital facilities (1,524) (1,450)  
Net cash provided by (used in) financing activities (1,524) (1,450)  
Exchange rate impact on cash and cash equivalents 178 40  
Net increase (decrease) in cash and cash equivalents (60) 2,432  
Cash and cash equivalents, beginning of year 2,432    
Cash and cash equivalents, end of year $ 2,372 $ 2,432  
[1] The net operations and net assets of the parent corporation, ExamWorks Group, Inc., are not deemed to be material. As such, the parent corporation has been combined with the guarantor subsidiaries.