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Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Operating activities:    
Net income (loss) $ 2,024us-gaap_NetIncomeLoss $ (289)us-gaap_NetIncomeLoss
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Depreciation and amortization 14,848us-gaap_DepreciationDepletionAndAmortization 14,342us-gaap_DepreciationDepletionAndAmortization
Amortization of deferred rent 138us-gaap_AmortizationOfDeferredCharges (44)us-gaap_AmortizationOfDeferredCharges
Share-based compensation 6,136us-gaap_ShareBasedCompensation 5,353us-gaap_ShareBasedCompensation
Excess tax benefit related to share-based compensation (2,086)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (6,190)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Provision for doubtful accounts 1,918us-gaap_ProvisionForDoubtfulAccounts 1,359us-gaap_ProvisionForDoubtfulAccounts
Amortization of deferred financing costs 587us-gaap_AmortizationOfFinancingCosts 571us-gaap_AmortizationOfFinancingCosts
Deferred income taxes (1,759)us-gaap_DeferredIncomeTaxExpenseBenefit (2,228)us-gaap_DeferredIncomeTaxExpenseBenefit
Changes in operating assets and liabilities, net of effects of acquisitions:    
Accounts receivable (14,763)us-gaap_IncreaseDecreaseInAccountsReceivable (12,501)us-gaap_IncreaseDecreaseInAccountsReceivable
Prepaid expenses and other current assets 1,010us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets (1,715)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Accounts payable and accrued expenses 4,668us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities 9,612us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
Accrued interest expense (5,640)us-gaap_IncreaseDecreaseInInterestPayableNet (5,457)us-gaap_IncreaseDecreaseInInterestPayableNet
Deferred revenue and customer deposits (133)exam_IncreaseDecreaseInDeferredRevenueAndCustomerRefundLiability 442exam_IncreaseDecreaseInDeferredRevenueAndCustomerRefundLiability
Other liabilities (784)us-gaap_IncreaseDecreaseInOtherOperatingLiabilities (50)us-gaap_IncreaseDecreaseInOtherOperatingLiabilities
Net cash provided by operating activities 6,164us-gaap_NetCashProvidedByUsedInOperatingActivities 3,205us-gaap_NetCashProvidedByUsedInOperatingActivities
Investing activities:    
Cash paid for acquisitions, net (2,299)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired (97,153)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Purchases of building, equipment and leasehold improvements, net (2,229)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (712)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Working capital and other settlements for acquisitions (91)exam_IncreaseDecreaseWorkingCapitalAndOtherSettlementsForAcquisitions (1,142)exam_IncreaseDecreaseWorkingCapitalAndOtherSettlementsForAcquisitions
Proceeds from (cash paid for) foreign currency net investment hedges 4,812us-gaap_PaymentsForProceedsFromHedgeInvestingActivities (3,356)us-gaap_PaymentsForProceedsFromHedgeInvestingActivities
Other (1,250)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities (839)us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
Net cash used in investing activities (1,057)us-gaap_NetCashProvidedByUsedInInvestingActivities (103,202)us-gaap_NetCashProvidedByUsedInInvestingActivities
Financing activities:    
Borrowings under senior secured revolving credit facility 25,478us-gaap_ProceedsFromLongTermLinesOfCredit 121,012us-gaap_ProceedsFromLongTermLinesOfCredit
Proceeds from the exercise of options and warrants 8,855exam_ProceedsFromStockOptionsExercisedAndWarrantExercises 14,637exam_ProceedsFromStockOptionsExercisedAndWarrantExercises
Excess tax benefit related to share-based compensation 2,086us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 6,190us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Net borrowings (repayments) under working capital facilities (132)us-gaap_ProceedsFromRepaymentsOfOtherDebt 4,123us-gaap_ProceedsFromRepaymentsOfOtherDebt
Payment of deferred financing costs   (225)us-gaap_PaymentsOfFinancingCosts
Repayment of subordinated unsecured notes payable   (333)us-gaap_RepaymentsOfSubordinatedDebt
Repayment of contingent earnout obligation (1,023)exam_PaymentOfContingentEarnoutObligation  
Repayments under senior secured revolving credit facility (29,331)us-gaap_RepaymentsOfLongTermLinesOfCredit (50,000)us-gaap_RepaymentsOfLongTermLinesOfCredit
Net cash provided by financing activities 5,933us-gaap_NetCashProvidedByUsedInFinancingActivities 95,404us-gaap_NetCashProvidedByUsedInFinancingActivities
Exchange rate impact on cash and cash equivalents (509)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents 268us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase (decrease) in cash and cash equivalents 10,531us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (4,325)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents, beginning of period 9,751us-gaap_CashAndCashEquivalentsAtCarryingValue 12,829us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents, end of period 20,282us-gaap_CashAndCashEquivalentsAtCarryingValue 8,504us-gaap_CashAndCashEquivalentsAtCarryingValue
Supplemental disclosures of cash flow information:    
Cash paid for interest 12,979us-gaap_InterestPaid 12,488us-gaap_InterestPaid
Cash paid for (refund from) income taxes $ 2,703us-gaap_IncomeTaxesPaidNet $ (1,042)us-gaap_IncomeTaxesPaidNet