XML 64 R45.htm IDEA: XBRL DOCUMENT v2.4.0.6
Supplemental Consolidating Financial Information
3 Months Ended 12 Months Ended
Mar. 31, 2012
Dec. 31, 2011
Supplemental Consolidating Financial Information    
Supplemental Consolidating Financial Information

13. Supplemental Consolidating Financial Information

 

Radiation Therapy Services, Inc. (RTS) payment obligations under the senior secured credit facility and senior subordinated notes are guaranteed by Radiation Therapy Services Holdings, Inc. (Parent) and certain domestic subsidiaries of RTS (Subsidiary Guarantors and, collectively with Parent, the “Guarantors”). The consolidated joint ventures and professional corporations of the Company are non-guarantors. Such guarantees are full, unconditional and joint and several. The following supplemental financial information sets forth, on an unconsolidated basis, balance sheets, statements of comprehensive income (loss), and statements of cash flows information for Parent, the Subsidiary Guarantors and the non-guarantor subsidiaries. The supplemental financial information reflects the investment of Parent and RTS and subsidiary guarantors using the equity method of accounting.

 

CONSOLIDATING BALANCE SHEETS (UNAUDITED)

AS OF MARCH 31, 2012

(in thousands)

 

 

 

Parent

 

RTS

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantors

 

Eliminations

 

Consolidated

 

ASSETS

 

 

 

 

 

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

114

 

$

53

 

$

1,874

 

$

10,366

 

$

 

$

12,407

 

Accounts receivable, net

 

 

 

53,813

 

47,356

 

 

101,169

 

Intercompany receivables

 

6,305

 

 

82,360

 

 

(88,665

)

 

Prepaid expenses

 

 

79

 

4,513

 

1,297

 

 

5,889

 

Inventories

 

 

 

4,388

 

539

 

 

4,927

 

Deferred income taxes

 

(35

)

(1,924

)

4,925

 

3

 

 

2,969

 

Other

 

6

 

872

 

2,624

 

955

 

 

4,457

 

Total current assets

 

6,390

 

(920

)

154,497

 

60,516

 

(88,665

)

131,818

 

Equity investments in joint ventures

 

139,037

 

867,212

 

113,675

 

49

 

(1,119,451

)

522

 

Property and equipment, net

 

 

 

208,977

 

35,315

 

 

244,292

 

Real estate subject to finance obligation

 

 

 

13,735

 

 

 

13,735

 

Goodwill

 

 

 

489,080

 

80,821

 

 

569,901

 

Intangible assets, net

 

 

2,782

 

20,901

 

22,126

 

 

45,809

 

Other assets

 

 

15,554

 

6,722

 

8,181

 

 

30,457

 

Intercompany note receivable

 

 

 

 

 

 

 

Total assets

 

$

145,427

 

$

884,628

 

$

1,007,587

 

$

207,008

 

$

(1,208,116

)

$

1,036,534

 

LIABILITIES AND EQUITY

 

 

 

 

 

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts payable

 

$

 

$

795

 

$

33,174

 

$

5,433

 

$

 

$

39,402

 

Intercompany payables

 

 

68,367

 

 

20,235

 

(88,602

)

 

Accrued expenses

 

(16

)

17,073

 

30,301

 

6,565

 

 

53,923

 

Income taxes payable

 

(126

)

1,624

 

2,325

 

1,661

 

 

5,484

 

Current portion of long-term debt

 

 

8,365

 

9,868

 

4,544

 

 

22,777

 

Current portion of finance obligation

 

 

 

184

 

 

 

184

 

Other current liabilities

 

 

 

2,518

 

2,856

 

 

5,374

 

Total current liabilities

 

(142

)

96,224

 

78,370

 

41,294

 

(88,602

)

127,144

 

Long-term debt, less current portion

 

 

660,268

 

19,463

 

2,254

 

 

681,985

 

Finance obligation, less current portion

 

 

 

14,133

 

 

 

14,133

 

Other long-term liabilities

 

 

1,041

 

15,512

 

6,589

 

 

23,142

 

Deferred income taxes

 

(3,882

)

(11,942

)

21,591

 

4,498

 

(6

)

10,259

 

Intercompany note payable

 

 

 

 

 

 

 

Total liabilities

 

(4,024

)

745,591

 

149,069

 

54,635

 

(88,608

)

856,663

 

Noncontrolling interests—redeemable

 

 

 

 

 

12,925

 

12,925

 

Total Radiation Therapy Services Holdings, Inc. shareholder’s equity

 

149,451

 

139,037

 

858,518

 

152,373

 

(1,149,929

)

149,450

 

Noncontrolling interests—nonredeemable

 

 

 

 

 

17,496

 

17,496

 

Total equity

 

149,451

 

139,037

 

858,518

 

152,373

 

(1,132,433

)

166,946

 

Total liabilities and equity

 

$

145,427

 

$

884,628

 

$

1,007,587

 

$

207,008

 

$

(1,208,116

)

$

1,036,534

 

 

CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (UNAUDITED)

THREE MONTHS ENDED MARCH 31, 2012

(in thousands)

 

 

 

Parent

 

RTS

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantors

 

Eliminations

 

Consolidated

 

Revenues:

 

 

 

 

 

 

 

 

 

 

 

 

 

Net patient service revenue

 

$

 

$

 

$

116,659

 

$

58,889

 

$

 

$

175,548

 

Other revenue

 

 

 

2,134

 

144

 

 

2,278

 

(Loss) income from equity investment

 

(10,340

)

6,772

 

957

 

12

 

2,218

 

(381

)

Intercompany revenue

 

 

31

 

17,690

 

 

(17,721

)

 

Total revenues

 

(10,340

)

6,803

 

137,440

 

59,045

 

(15,503

)

177,445

 

Expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

95

 

 

72,095

 

21,653

 

 

93,843

 

Medical supplies

 

 

 

12,628

 

2,832

 

 

15,460

 

Facility rent expenses

 

 

 

8,123

 

1,467

 

 

9,590

 

Other operating expenses

 

 

 

6,097

 

2,604

 

 

8,701

 

General and administrative expenses

 

 

274

 

15,594

 

3,814

 

 

19,682

 

Depreciation and amortization

 

 

927

 

12,431

 

1,838

 

 

15,196

 

Provision for doubtful accounts

 

 

 

2,982

 

2,079

 

 

5,061

 

Interest expense, net

 

(1

)

16,788

 

655

 

113

 

 

17,555

 

Foreign currency transaction loss

 

 

 

 

49

 

 

49

 

Loss on foreign currency derivative contracts

 

 

594

 

 

 

 

594

 

Intercompany expenses

 

 

118

 

 

17,603

 

(17,721

)

 

Total expenses

 

94

 

18,701

 

130,605

 

54,052

 

(17,721

)

185,731

 

(Loss) income before income taxes

 

(10,434

)

(11,898

)

6,835

 

4,993

 

2,218

 

(8,286

)

Income tax expense

 

 

(1,891

)

92

 

1,916

 

(7

)

110

 

Net (loss) income

 

(10,434

)

(10,007

)

6,743

 

3,077

 

2,225

 

(8,396

)

Net income attributable to noncontrolling interests—redeemable and non-redeemable

 

 

 

 

 

(1,153

)

(1,153

)

Net (loss) income attributable to Radiation Therapy Services Holdings, Inc. shareholder

 

(10,434

)

(10,007

)

6,743

 

3,077

 

1,072

 

(9,549

)

Unrealized comprehensive loss:

 

 

(333

)

 

(528

)

 

(861

)

Comprehensive (loss) income

 

(10,434

)

(10,340

)

6,743

 

2,549

 

2,225

 

(9,257

)

Comprehensive income attributable to noncontrolling interests-redeemable and non-redeemable:

 

 

 

 

 

(1,177

)

(1,177

)

Comprehensive (loss) income attributable to Radiation Therapy Services Holdings, Inc. shareholder

 

$

(10,434

)

$

(10,340

)

$

6,743

 

$

2,549

 

$

1,048

 

$

(10,434

)

 

CONSOLIDATING STATEMENT OF CASH FLOWS (UNAUDITED)

THREE MONTHS ENDED MARCH 31, 2012

(in thousands)

 

 

 

Parent

 

RTS

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantors

 

Eliminations

 

Consolidated

 

Cash flows from operating activities

 

 

 

 

 

 

 

 

 

 

 

 

 

Net (loss) income

 

$

(10,434

)

$

(10,007

)

$

6,743

 

$

3,077

 

$

2,225

 

$

(8,396

)

Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation

 

 

 

10,996

 

1,454

 

 

12,450

 

Amortization

 

 

927

 

1,435

 

384

 

 

2,746

 

Deferred rent expense

 

 

 

251

 

65

 

 

316

 

Deferred income taxes

 

 

10

 

38

 

(148

)

(6

)

(106

)

Stock-based compensation

 

95

 

 

 

 

 

95

 

Provision for doubtful accounts

 

 

 

2,982

 

2,079

 

 

5,061

 

Loss on the sale of property and equipment

 

 

 

90

 

 

 

90

 

Amortization of termination of interest rate swap

 

 

(84

)

 

 

 

(84

)

Loss on foreign currency transactions

 

 

 

 

9

 

 

9

 

Loss on foreign currency derivative contracts

 

 

594

 

 

 

 

594

 

Amortization of debt discount

 

 

218

 

 

 

 

218

 

Amortization of loan costs

 

 

1,334

 

 

 

 

1,334

 

Equity interest in net loss (earnings) of joint ventures

 

10,340

 

(6,772

)

(957

)

(12

)

(2,218

)

381

 

Distribution received from unconsolidated joint ventures

 

 

 

9

 

 

 

9

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable and other receivables

 

 

 

(12,854

)

(5,918

)

 

(18,772

)

Income taxes payable

 

 

71

 

(4

)

133

 

 

200

 

Inventories and other current assets

 

 

 

(227

)

(165

)

 

(392

)

Prepaid expenses

 

 

(27

)

765

 

(543

)

 

195

 

Intercompany payable / receivable

 

(53

)

(15,821

)

10,603

 

5,272

 

(1

)

 

Accounts payable

 

 

186

 

11,336

 

(206

)

 

11,316

 

Accrued deferred compensation

 

 

 

152

 

47

 

 

199

 

Accrued expenses

 

(16

)

9,271

 

1,953

 

166

 

 

11,374

 

Net cash (used in) provided by operating activities

 

(68

)

(20,100

)

33,311

 

5,694

 

 

18,837

 

Cash flows from investing activities

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchases of property and equipment

 

 

 

(5,836

)

(1,066

)

 

(6,902

)

Acquisition of medical practices

 

 

 

(23,053

)

(50

)

 

(23,103

)

Proceeds from the sale of property and equipment

 

 

 

26

 

 

 

26

 

Loans to employees

 

 

 

(133

)

(3

)

 

(136

)

Intercompany notes to / from affiliates

 

 

 

 

 

 

 

Contribution of capital to joint venture entities

 

 

 

(225

)

 

 

(225

)

Distributions received from joint venture entities

 

 

406

 

1,529

 

 

(1,935

)

 

Payment of foreign currency derivative contracts

 

 

(292

)

 

 

 

(292

)

Premiums on life insurance policies

 

 

 

 

(155

)

 

(155

)

Change in other assets and other liabilities

 

(2

)

 

409

 

(252

)

 

155

 

Net cash (used in) provided by investing activities

 

(2

)

114

 

(27,283

)

(1,526

)

(1,935

)

(30,632

)

Cash flows from financing activities

 

 

 

 

 

 

 

 

 

 

 

 

 

Proceeds from issuance of debt

 

 

 

 

560

 

 

560

 

Net proceeds from revolving credit facility

 

 

20,000

 

 

 

 

20,000

 

Principal repayments of debt

 

 

 

(4,861

)

(738

)

 

(5,599

)

Repayments of finance obligation

 

 

 

(26

)

 

 

(26

)

Cash distributions to noncontrolling interest holders—redeemable and non-redeemable

 

 

 

 

 

(905

)

(905

)

Cash distributions to shareholders

 

 

 

 

(2,840

)

2,840

 

 

Net cash provided by (used in) financing activities

 

 

20,000

 

(4,887

)

(3,018

)

1,935

 

14,030

 

Effect of exchange rate changes on cash and cash equivalents

 

 

 

 

(5

)

 

(5

)

Net (decrease) increase in cash and cash equivalents

 

(70

)

14

 

1,141

 

1,145

 

 

2,230

 

Cash and cash equivalents, beginning of period

 

184

 

39

 

733

 

9,221

 

 

10,177

 

Cash and cash equivalents, end of period

 

$

114

 

$

53

 

$

1,874

 

$

10,366

 

$

 

$

12,407

 

 

CONSOLIDATING BALANCE SHEETS

AS OF DECEMBER 31, 2011

(in thousands)

 

 

 

Parent

 

RTS

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantors

 

Eliminations

 

Consolidated

 

ASSETS

 

 

 

 

 

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

184

 

$

39

 

$

733

 

$

9,221

 

$

 

$

10,177

 

Accounts receivable, net

 

 

 

44,135

 

42,959

 

 

87,094

 

Intercompany receivables

 

6,335

 

 

91,477

 

 

(97,812

)

 

Prepaid expenses

 

 

52

 

4,968

 

711

 

 

5,731

 

Inventories

 

 

 

4,140

 

168

 

 

4,308

 

Deferred income taxes

 

(35

)

(1,924

)

4,925

 

3

 

 

2,969

 

Other

 

4

 

814

 

4,397

 

810

 

 

6,025

 

Total current assets

 

6,488

 

(1,019

)

154,775

 

53,872

 

(97,812

)

116,304

 

Equity investments in joint ventures

 

149,377

 

778,355

 

123,310

 

42

 

(1,050,392

)

692

 

Property and equipment, net

 

 

 

201,806

 

34,605

 

 

236,411

 

Real estate subject to finance obligation

 

 

 

13,719

 

 

 

13,719

 

Goodwill

 

 

82,491

 

384,001

 

90,055

 

 

556,547

 

Intangible assets, net

 

 

3,710

 

15,936

 

22,747

 

 

42,393

 

Other assets

 

 

17,248

 

7,089

 

8,189

 

 

32,526

 

Intercompany note receivable

 

 

 

 

 

 

 

Total assets

 

$

155,865

 

$

880,785

 

$

900,636

 

$

209,510

 

$

(1,148,204

)

$

998,592

 

LIABILITIES AND EQUITY

 

 

 

 

 

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts payable

 

$

 

$

609

 

$

21,838

 

$

5,301

 

$

 

$

27,748

 

Intercompany payables

 

 

84,272

 

 

13,473

 

(97,745

)

 

Accrued expenses

 

 

7,802

 

28,337

 

6,457

 

 

42,596

 

Income taxes payable

 

(126

)

1,553

 

2,329

 

1,554

 

 

5,310

 

Current portion of long-term debt

 

 

 

9,923

 

4,022

 

 

13,945

 

Current portion of finance obligation

 

 

 

161

 

 

 

161

 

Other current liabilities

 

 

 

3,886

 

2,729

 

 

6,615

 

Total current liabilities

 

(126

)

94,236

 

66,474

 

33,536

 

(97,745

)

96,375

 

Long-term debt, less current portion

 

 

648,415

 

13,757

 

2,916

 

 

665,088

 

Finance obligation, less current portion

 

 

 

14,105

 

 

 

14,105

 

Other long-term liabilities

 

 

708

 

15,460

 

6,491

 

 

22,659

 

Deferred income taxes

 

(3,882

)

(11,951

)

21,553

 

4,623

 

 

10,343

 

Intercompany note payable

 

 

 

 

 

 

 

Total liabilities

 

(4,008

)

731,408

 

131,349

 

47,566

 

(97,745

)

808,570

 

Noncontrolling interests—redeemable

 

 

 

 

 

12,728

 

12,728

 

Total Radiation Therapy Services Holdings, Inc. shareholder’s equity

 

159,873

 

149,377

 

769,287

 

161,944

 

(1,080,608

)

159,873

 

Noncontrolling interests—nonredeemable

 

 

 

 

 

17,421

 

17,421

 

Total equity

 

159,873

 

149,377

 

769,287

 

161,944

 

(1,063,187

)

177,294

 

Total liabilities and equity

 

$

155,865

 

$

880,785

 

$

900,636

 

$

209,510

 

$

(1,148,204

)

$

998,592

 

 

CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (UNAUDITED)

THREE MONTHS ENDED MARCH 31, 2011

(in thousands)

 

 

 

Parent

 

RTS

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantors

 

Eliminations

 

Consolidated

 

Revenues:

 

 

 

 

 

 

 

 

 

 

 

 

 

Net patient service revenue

 

$

 

$

 

$

113,665

 

$

41,418

 

$

 

$

155,083

 

Other revenue

 

 

 

1,459

 

245

 

 

1,704

 

(Loss) income from equity investment

 

(2,657

)

11,629

 

1,726

 

(1

)

(10,947

)

(250

)

Intercompany revenue

 

 

206

 

19,677

 

 

(19,883

)

 

Total revenues

 

(2,657

)

11,835

 

136,527

 

41,662

 

(30,830

)

156,537

 

Expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

680

 

 

68,999

 

11,220

 

 

80,899

 

Medical supplies

 

 

 

11,788

 

703

 

 

12,491

 

Facility rent expenses

 

 

 

7,006

 

817

 

 

7,823

 

Other operating expenses

 

 

 

6,019

 

1,439

 

 

7,458

 

General and administrative expenses

 

5

 

399

 

15,782

 

1,650

 

 

17,836

 

Depreciation and amortization

 

 

 

11,327

 

1,128

 

 

12,455

 

Provision for doubtful accounts

 

 

 

2,282

 

1,519

 

 

3,801

 

Interest expense, net

 

(2

)

14,087

 

513

 

(105

)

 

14,493

 

Gain on fair value adjustment of previously held equity investment

 

 

 

(234

)

 

 

(234

)

Foreign currency transaction loss

 

 

 

 

10

 

 

10

 

Loss on foreign currency derivative contracts

 

 

116

 

 

 

 

116

 

Intercompany expenses

 

7

 

 

 

19,876

 

(19,883

)

 

Total expenses

 

690

 

14,602

 

123,482

 

38,257

 

(19,883

)

157,148

 

(Loss) income before income taxes

 

(3,347

)

(2,767

)

13,045

 

3,405

 

(10,947

)

(611

)

Income tax (benefit) expense

 

 

1,186

 

1,120

 

16

 

144

 

2,466

 

Net (loss) income

 

(3,347

)

(3,953

)

11,925

 

3,389

 

(11,091

)

(3,077

)

Net income attributable to noncontrolling interests—redeemable and non-redeemable

 

 

 

 

 

(1,439

)

(1,439

)

Net (loss) income attributable to Radiation Therapy Services Holdings, Inc. shareholder

 

(3,347

)

(3,953

)

11,925

 

3,389

 

(12,530

)

(4,516

)

Unrealized comprehensive income (loss):

 

 

1,296

 

 

(155

)

 

1,141

 

Comprehensive (loss) income

 

(3,347

)

(2,657

)

11,925

 

3,234

 

(11,091

)

(1,936

)

Comprehensive income attributable to noncontrolling interests-redeemable and non-redeemable:

 

 

 

 

 

(1,411

)

(1,411

)

Comprehensive (loss) income attributable to Radiation Therapy Services Holdings, Inc. shareholder

 

$

(3,347

)

$

(2,657

)

$

11,925

 

$

3,234

 

$

(12,502

)

$

(3,347

)

 

CONSOLIDATING STATEMENT OF CASH FLOWS (UNAUDITED)

THREE MONTHS ENDED MARCH 31, 2011

(in thousands)

 

 

 

Parent

 

RTS

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantors

 

Eliminations

 

Consolidated

 

Cash flows from operating activities

 

 

 

 

 

 

 

 

 

 

 

 

 

Net (loss) income

 

$

(3,347

)

$

(3,953

)

$

11,925

 

$

3,389

 

$

(11,091

)

$

(3,077

)

Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation

 

 

 

9,816

 

1,013

 

 

10,829

 

Amortization

 

 

 

1,511

 

115

 

 

1,626

 

Deferred rent expense

 

 

 

229

 

60

 

 

289

 

Deferred income taxes

 

 

527

 

1,209

 

188

 

44

 

1,968

 

Stock-based compensation

 

680

 

 

 

 

 

680

 

Provision for doubtful accounts

 

 

 

2,282

 

1,519

 

 

3,801

 

Gain on the sale of property and equipment

 

 

 

(8

)

 

 

(8

)

Gain on fair value adjustment of previously held equity investment

 

 

 

(234

)

 

 

(234

)

Loss on foreign currency transactions

 

 

 

 

49

 

 

49

 

Loss on foreign currency derivative contracts

 

 

116

 

 

 

 

116

 

Amortization of debt discount

 

 

192

 

 

 

 

192

 

Amortization of loan costs

 

 

1,014

 

 

 

 

1,014

 

Equity interest in net loss (earnings) of joint ventures

 

2,657

 

(11,629

)

(1,726

)

1

 

10,947

 

250

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable and other receivables

 

 

 

(10,863

)

(4,734

)

 

(15,597

)

Income taxes payable

 

 

635

 

(89

)

(814

)

(69

)

(337

)

Inventories and other current assets

 

 

 

(681

)

4

 

 

(677

)

Prepaid expenses

 

 

(57

)

806

 

16

 

 

765

 

Intercompany payable / receivable

 

(276

)

2,393

 

(5,776

)

3,490

 

169

 

 

Accounts payable

 

 

(237

)

3,715

 

(634

)

 

2,844

 

Accrued expenses

 

 

10,776

 

3,213

 

(102

)

 

13,887

 

Net cash (used in) provided by operating activities

 

(286

)

(223

)

15,329

 

3,560

 

 

18,380

 

Cash flows from investing activities

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchases of property and equipment

 

 

 

(10,878

)

(535

)

 

(11,413

)

Acquisition of medical practices

 

 

 

(47,500

)

5,396

 

 

(42,104

)

Proceeds from the sale of property and equipment

 

 

 

5

 

 

 

5

 

Repayments from (loans to) employees

 

 

 

147

 

(12

)

 

135

 

Intercompany notes to / from affiliates

 

 

 

 

 

 

 

Contribution of capital to joint venture entities

 

 

(47,500

)

 

 

47,500

 

 

Distributions received from joint venture entities

 

 

372

 

1,728

 

 

(1,800

)

300

 

Proceeds from sale of equity interest in a joint venture

 

 

 

312

 

 

 

312

 

Payment of foreign currency derivative contracts

 

 

(552

)

 

 

 

(552

)

Change in other assets and other liabilities

 

5

 

3

 

(100

)

32

 

 

(60

)

Net cash provided by (used in) investing activities

 

5

 

(47,677

)

(56,286

)

4,881

 

45,700

 

(53,377

)

Cash flows from financing activities

 

 

 

 

 

 

 

 

 

 

 

 

 

Proceeds from issuance of debt (net of original issue discount of $625)

 

 

49,375

 

 

26

 

 

49,401

 

Principal repayments of debt

 

 

 

(2,433

)

(23

)

 

(2,456

)

Repayments of finance obligation

 

 

 

(13

)

 

 

(13

)

Proceeds from equity contribution

 

3

 

 

47,500

 

 

(47,500

)

3

 

Cash distributions to noncontrolling interest holders—redeemable and non-redeemable

 

 

 

 

 

(923

)

(923

)

Payments of loan costs

 

 

(1,534

)

 

 

 

(1,534

)

Cash distributions to shareholders

 

 

 

 

(2,723

)

2,723

 

 

Net cash provided by (used in) financing activities

 

3

 

47,841

 

45,054

 

(2,720

)

(45,700

)

44,478

 

Effect of exchange rate changes on cash and cash equivalents

 

 

 

 

(3

)

 

(3

)

Net (decrease) increase in cash and cash equivalents

 

(278

)

(59

)

4,097

 

5,718

 

 

9,478

 

Cash and cash equivalents, beginning of period

 

279

 

80

 

8,637

 

4,981

 

 

13,977

 

Cash and cash equivalents, end of period

 

$

1

 

$

21

 

$

12,734

 

$

10,699

 

$

 

$

23,455

 

(20) Supplemental Consolidating Financial Information

        Radiation Therapy Services, Inc. (RTS) payment obligations under the senior secured credit facility and senior subordinated notes are guaranteed by Parent and certain domestic subsidiaries of RTS (Subsidiary Guarantors and, collectively with Parent, the "Guarantors"). The consolidated joint ventures and professional corporations of the Company are non-guarantors. Such guarantees are full, unconditional and joint and several. The following supplemental financial information sets forth, on an unconsolidated basis, balance sheets, statements of operations, and statements of cash flows information for Parent, the Subsidiary Guarantors and the non-guarantor subsidiaries. The supplemental financial information reflects the investment of Parent and RTS and subsidiary guarantors using the equity method of accounting.


CONSOLIDATING BALANCE SHEET
AS OF DECEMBER 31, 2011
(in thousands)

 
  Parent   RTS   Subsidiary
Guarantors
  Subsidiary
Non-Guarantors
  Eliminations   Consolidated  

ASSETS

                                     

Current assets:

                                     

Cash and cash equivalents

  $ 184   $ 39   $ 733   $ 9,221   $   $ 10,177  

Accounts receivable, net

            44,135     42,959         87,094  

Intercompany receivables

    6,335         91,477         (97,812 )    

Prepaid expenses

        52     4,968     711         5,731  

Inventories

            4,140     168         4,308  

Deferred income taxes

    (35 )   (1,924 )   4,925     3         2,969  

Other

    4     814     4,397     810         6,025  
                           

Total current assets

    6,488     (1,019 )   154,775     53,872     (97,812 )   116,304  

Equity investments in joint ventures

    149,377     778,355     123,310     42     (1,050,392 )   692  

Property and equipment, net

            201,806     34,605         236,411  

Real estate subject to finance obligation

            13,719             13,719  

Goodwill

        82,491     384,001     90,055         556,547  

Intangible assets, net

        3,710     15,936     22,747         42,393  

Other assets

        17,248     7,089     8,189         32,526  

Intercompany note receivable

                         
                           

Total assets

  $ 155,865   $ 880,785   $ 900,636   $ 209,510   $ (1,148,204 ) $ 998,592  
                           

LIABILITIES AND EQUITY

                                     

Current liabilities:

                                     

Accounts payable

  $   $ 609   $ 21,838   $ 5,301   $   $ 27,748  

Intercompany payables

        84,272         13,473     (97,745 )    

Accrued expenses

        7,802     28,337     6,457         42,596  

Income taxes payable

    (126 )   1,553     2,329     1,554         5,310  

Current portion of long-term debt

            9,923     4,022         13,945  

Current portion of finance obligation

            161             161  

Other current liabilities

            3,886     2,729         6,615  
                           

Total current liabilities

    (126 )   94,236     66,474     33,536     (97,745 )   96,375  

Long-term debt, less current portion

        648,415     13,757     2,916         665,088  

Finance obligation, less current portion

            14,105             14,105  

Other long-term liabilities

        708     15,460     6,491         22,659  

Deferred income taxes

    (3,882 )   (11,951 )   21,553     4,623         10,343  

Intercompany note payable

                         
                           

Total liabilities

    (4,008 )   731,408     131,349     47,566     (97,745 )   808,570  

Noncontrolling interests—redeemable

                    12,728     12,728  

Total Radiation Therapy Services Holdings, Inc. shareholder's equity

    159,873     149,377     769,287     161,944     (1,080,608 )   159,873  

Noncontrolling interests—nonredeemable

                    17,421     17,421  
                           

Total equity

    159,873     149,377     769,287     161,944     (1,063,187 )   177,294  
                           

Total liabilities and equity

  $ 155,865   $ 880,785   $ 900,636   $ 209,510   $ (1,148,204 ) $ 998,592  
                           

CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
YEAR ENDED DECEMBER 31, 2011
(in thousands)

 
  Parent   RTS   Subsidiary
Guarantors
  Subsidiary
Non-Guarantors
  Eliminations   Consolidated  

Revenues:

                                     

Net patient service revenue

  $   $   $ 435,258   $ 203,432   $   $ 638,690  

Other revenue

        1     6,574     488         7,063  

(Loss) income from equity investment

    (363,552 )   (342,738 )   2,633     (6 )   702,627     (1,036 )

Intercompany revenue

        742     80,897     2     (81,641 )    
                           

Total revenues

    (363,552 )   (341,995 )   525,362     203,916     620,986     644,717  

Expenses:

                                     

Salaries and benefits

    1,461         263,483     61,838         326,782  

Medical supplies

            46,590     5,248         51,838  

Facility rent expenses

            28,902     4,473         33,375  

Other operating expenses

            23,768     10,224         33,992  

General and administrative expenses

    6     1,929     68,500     11,253         81,688  

Depreciation and amortization

        928     46,764     6,392         54,084  

Provision for doubtful accounts

            11,276     4,841         16,117  

Interest expense, net

    (6 )   58,433     2,482     (253 )       60,656  

Impairment loss

            359,857     782         360,639  

Loss (gain) on investments

            251     (1 )       250  

Gain on fair value adjustment of previously held equity investment

            (234 )           (234 )

Foreign currency transaction loss

                106         106  

Loss on forward currency derivative contracts

        672                 672  

Intercompany expenses

            2     81,639     (81,641 )    
                           

Total expenses

    1,461     61,962     851,641     186,542     (81,641 )   1,019,965  
                           

(Loss) income before income taxes

    (365,013 )   (403,957 )   (326,279 )   17,374     702,627     (375,248 )

Income tax expense

    (9,735 )   (37,977 )   16,547     5,800         (25,365 )
                           

Net (loss) income

    (355,278 )   (365,980 )   (342,826 )   11,574     702,627     (349,883 )

Net income attributable to noncontrolling interests—redeemable and non-redeemable

                    (3,558 )   (3,558 )
                           

Net (loss) income attributable to Radiation Therapy Services Holdings, Inc. shareholder

    (355,278 )   (365,980 )   (342,826 )   11,574     699,069     (353,441 )

Unrealized comprehensive income (loss):

        2,428         (4,909 )       (2,481 )
                           

Comprehensive (loss) income

    (355,278 )   (363,552 )   (342,826 )   6,665     702,627     (352,364 )
                           

Comprehensive income attributable to noncontrolling interests—redeemable and non-redeemable:

                    (2,914 )   (2,914 )
                           

Comprehensive (loss) income attributable to Radiation Therapy Services Holdings, Inc. shareholder

  $ (355,278 ) $ (363,552 ) $ (342,826 ) $ 6,665   $ 699,713   $ (355,278 )
                           

CONSOLIDATING STATEMENT OF CASH FLOWS
YEAR ENDED DECEMBER 31, 2011
(in thousands)

 
  Parent   RTS   Subsidiary
Guarantors
  Subsidiary
Non-Guarantors
  Eliminations   Consolidated  

Cash flows from operating activities

                                     

Net (loss) income

  $ (355,278 ) $ (365,980 ) $ (342,826 ) $ 11,574   $ 702,627   $ (349,883 )

Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities:

                                     

Depreciation

            40,822     5,150         45,972  

Amortization

        928     5,942     1,242         8,112  

Deferred rent expense

            1,069     202         1,271  

Deferred income taxes

    (2,141 )   (38,285 )   11,220     403     425     (28,378 )

Stock-based compensation

    1,461                     1,461  

Provision for doubtful accounts

            11,276     4,841         16,117  

Loss on the sale of property and equipment

            235             235  

Termination of a derivative interest rate swap agreement

        (1,880 )               (1,880 )

Impairment loss

            359,857     782         360,639  

Loss on investments

            251     (1 )       250  

Gain on fair value adjustment of previously held equity investment

            (234 )           (234 )

Loss on foreign currency transactions

                98         98  

Loss on forward currency derivative contracts

        672                 672  

Amortization of debt discount

        847                 847  

Amortization of loan costs

        4,524                 4,524  

Equity interest in net loss (earnings) of joint ventures

    363,552     342,738     (2,633 )   6     (702,627 )   1,036  

Distribution received from unconsolidated joint ventures

            52             52  

Changes in operating assets and liabilities:

                                     

Accounts receivable and other receivables

            (11,807 )   (8,973 )       (20,780 )

Income taxes payable

    (568 )   5,533     (7,076 )   (1,684 )   (598 )   (4,393 )

Inventories and other current assets

            (1,552 )   (100 )       (1,622 )

Prepaid expenses

        (7 )   2,536     310         2,839  

Intercompany payable / receivable

    (7,177 )   61,149     (56,738 )   2,593     173      

Accounts payable

        (15 )   4,338     (1,515 )       2,808  

Accrued expenses

        1,424     2,432     1,145         5,001  
                           

Net cash (used in) provided by operating activities

    (151 )   11,648     17,194     16,073         44,764  

Cash flows from investing activities

                                     

Purchases of property and equipment

            (30,733 )   (5,879 )       (36,612 )

Acquisition of medical practices

            (63,843 )   3,957         (59,886 )

Proceeds from the sale of property and equipment

            6             6  

Repayments from (loans to) employees

            346     (8 )       338  

Intercompany notes to / from affiliates

                         

Contribution of capital to joint venture entities

        (57,647 )   (299 )       57,147     (799 )

Distributions received from joint venture entities

        1,379     6,442         (7,240 )   581  

Proceeds from sale of equity interest in a joint venture

            4,432         (4,120 )   312  

Proceeds from sale of investments

            1,035             1,035  

Purchase of investments

                (79 )       (79 )

Payment of foreign currency derivative contracts

        (1,486 )               (1,486 )

Change in other assets and other liabilities

    3     (1 )   (233 )   39         (192 )
                           

Net cash provided by (used in) investing activities

    3     (57,755 )   (82,847 )   (1,970 )   45,787     (96,782 )

CONSOLIDATING STATEMENT OF CASH FLOWS
YEAR ENDED DECEMBER 31, 2011 (Continued)
(in thousands)

 
  Parent   RTS   Subsidiary
Guarantors
  Subsidiary
Non-Guarantors
  Eliminations   Consolidated  

Cash flows from financing activities

                                     

Proceeds from issuance of debt

        97,375     11,408     2,422         111,205  

Principal repayments of debt

        (46,500 )   (10,711 )   (566 )       (57,777 )

Repayments of finance obligation

            (95 )           (95 )

Proceeds from equity contribution

    3         57,147         (57,147 )   3  

Payments of notes receivable from shareholder

    50                     50  

Proceeds from issuance of noncontrolling interest

                    4,120     4,120  

Cash distributions to noncontrolling interest holders—redeemable and non-redeemable

                    (4,428 )   (4,428 )

Consolidation of noncontrolling interest

                (33 )       (33 )

Payments of loan costs

        (4,809 )               (4,809 )

Cash distributions to shareholders

                (11,668 )   11,668      
                           

Net cash provided by (used in) financing activities

    53     46,066     57,749     (9,845 )   (45,787 )   48,236  
                           

Effect of exchange rate changes on cash and cash equivalents

                (18 )       (18 )

Net (decrease) increase in cash and cash equivalents

    (95 )   (41 )   (7,904 )   4,240         (3,800 )

Cash and cash equivalents, beginning of period

    279     80     8,637     4,981         13,977  
                           

Cash and cash equivalents, end of period

  $ 184   $ 39   $ 733   $ 9,221   $   $ 10,177  
                           

CONSOLIDATING BALANCE SHEETS
AS OF DECEMBER 31, 2010
(in thousands)

 
  Parent   RTS   Subsidiary
Guarantors
  Subsidiary
Non-Guarantors
  Eliminations   Consolidated  

ASSETS

                                     

Current assets:

                                     

Cash and cash equivalents

  $ 279   $ 80   $ 8,637   $ 4,981   $   $ 13,977  

Accounts receivable, net

            43,901     19,670         63,571  

Intercompany receivables

            71,519         (71,519 )    

Income taxes receivable

                         

Prepaid expenses

        45     6,549     375         6,969  

Inventories

            2,579     68         2,647  

Deferred income taxes

    (517 )   1,553     1,240             2,276  

Other

    7         1,507     799         2,313  
                           

Total current assets

    (231 )   1,678     135,932     25,893     (71,519 )   91,753  

Equity investments in joint ventures

    496,340     1,028,910     44,011         (1,549,125 )   20,136  

Property and equipment, net

            207,250     22,415         229,665  

Real estate subject to finance obligation

            8,100             8,100  

Goodwill

        114,064     644,699     12,135         770,898  

Intangible assets, net

        12,978     71,783     475         85,236  

Other assets

        16,963     4,420     9,159         30,542  

Intercompany note receivable

                         
                           

Total assets

  $ 496,109   $ 1,174,593   $ 1,116,195   $ 70,077   $ (1,620,644 ) $ 1,236,330  
                           

LIABILITIES AND EQUITY

                                     

Current liabilities:

                                     

Accounts payable

  $   $ 624   $ 17,880   $ 3,384   $   $ 21,888  

Intercompany payables

    841     59,758         11,037     (71,636 )    

Accrued expenses

        6,378     26,260     3,127         35,765  

Income taxes payable

    442     (3,980 )   9,405     (471 )   598     5,994  

Current portion of long-term debt

            8,780             8,780  

Current portion of finance obligation

            53             53  

Other current liabilities

            197             197  
                           

Total current liabilities

    1,283     62,780     62,575     17,077     (71,038 )   72,677  

Long-term debt, less current portion

        580,645     9,406             590,051  

Finance obligation, less current portion

            8,515             8,515  

Other long-term liabilities

        4,966     10,002     1,013         15,981  

Deferred income taxes

    (2,223 )   29,862     6,648     (335 )   (425 )   33,527  

Intercompany note payable

                         
                           

Total liabilities

    (940 )   678,253     97,146     17,755     (71,463 )   720,751  

Noncontrolling interests—redeemable

                    7,371     7,371  

Total Radiation Therapy Services Holdings, Inc. shareholder's equity

    497,049     496,340     1,019,049     52,322     (1,567,711 )   497,049  

Noncontrolling interests—nonredeemable

                    11,159     11,159  
                           

Total equity

    497,049     496,340     1,019,049     52,322     (1,556,552 )   508,208  
                           

Total liabilities and equity

  $ 496,109   $ 1,174,593   $ 1,116,195   $ 70,077   $ (1,620,644 ) $ 1,236,330  
                           

CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
YEAR ENDED DECEMBER 31, 2010
(in thousands)

 
  Parent   RTS   Subsidiary
Guarantors
  Subsidiary
Non-Guarantors
  Eliminations   Consolidated  

Revenues:

                                     

Net patient service revenue

  $   $   $ 391,643   $ 144,270   $   $ 535,913  

Other revenue

            6,377     672         7,049  

(Loss) income from equity investment

    (113,441 )   (48,528 )   4,354         158,616     1,001  

Intercompany revenue

        569     81,966         (82,535 )    
                           

Total revenues

    (113,441 )   (47,959 )   484,340     144,942     76,081     543,963  

Expenses:

                                     

Salaries and benefits

    1,030         244,692     36,580         282,302  

Medical supplies

            40,779     2,248         43,027  

Facility rent expenses

            25,166     2,719         27,885  

Other operating expenses

            23,965     3,138         27,103  

General and administrative expenses

    2     2,669     59,567     3,560         65,798  

Depreciation and amortization

            42,864     3,482         46,346  

Provision for doubtful accounts

            3,566     5,265         8,831  

Interest expense, net

    (9 )   54,934     4,011     (431 )       58,505  

Loss on sale of assets of a radiation treatment center

            1,903             1,903  

Early extinguishment of debt

        10,947                 10,947  

Impairment Loss

            97,916             97,916  

Intercompany expenses

                82,703     (82,703 )    
                           

Total expenses

    1,023     68,550     544,429     139,264     (82,703 )   670,563  
                           

(Loss) income before income taxes

    (114,464 )   (116,509 )   (60,089 )   5,678     158,784     (126,600 )

Income tax (benefit) expense

    (454 )   (1,389 )   (11,142 )   6     169     (12,810 )
                           

Net (loss) income

    (114,010 )   (115,120 )   (48,947 )   5,672     158,615     (113,790 )

Net income attributable to noncontrolling interests—redeemable and non-redeemable

                    (1,698 )   (1,698 )
                           

Net (loss) income attributable to Radiation Therapy Services Holdings, Inc. shareholder

    (114,010 )   (115,120 )   (48,947 )   5,672     156,917     (115,488 )

Unrealized comprehensive income (loss):

        1,679     (201 )           1,478  
                           

Comprehensive (loss) income

    (114,010 )   (113,441 )   (49,148 )   5,672     158,615     (112,312 )
                           

Comprehensive income attributable to noncontrolling interests-redeemable and non-redeemable:

                    (1,698 )   (1,698 )
                           

Comprehensive (loss) income attributable to Radiation Therapy Services Holdings, Inc. shareholder

  $ (114,010 ) $ (113,441 ) $ (49,148 ) $ 5,672   $ 156,917   $ (114,010 )
                           


CONSOLIDATING STATEMENTS OF CASH FLOWS
YEAR ENDED DECEMBER 31, 2010
(in thousands)

 
  Parent   RTS   Subsidiary
Guarantors
  Subsidiary
Non-Guarantors
  Eliminations   Consolidated  

Cash flows from operating activities

                                     

Net (loss) income

  $ (114,010 ) $ (115,120 ) $ (48,947 ) $ 5,672   $ 158,615   $ (113,790 )

Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities:

                                     

Depreciation

            35,581     3,430         39,011  

Amortization

            7,283     52         7,335  

Deferred rent expense

            895     285         1,180  

Deferred income tax provision (benefit)

    (1,627 )   (1,335 )   (15,976 )   (335 )   (425 )   (19,698 )

Stock-based compensation

    1,030                     1,030  

Impairment Loss

            97,916             97,916  

Provision for doubtful accounts

            3,566     5,265         8,831  

Loss on the sale of property and equipment

            734             734  

Loss on sale of assets of a radiation treatment center

            1,903             1,903  

Write off of pro-rata debt discount

        494                 494  

Write off of loan costs

        1,593                 1,593  

Early Extinguishment of debt

        10,947                 10,947  

Amortization of debt discount

        791                 791  

Amortization of loan costs

        3,350                 3,350  

Equity interest in net earnings of joint ventures

    113,441     48,528     (4,354 )       (158,616 )   (1,001 )

Distribution received from unconsolidated joint ventures

            980             980  

Changes in operating assets and liabilities:

                                     

Accounts receivable and other receivables

            (11,660 )   (4,406 )       (16,066 )

Income taxes receivable / payable

    442     1,220     4,178     39     598     6,477  

Inventories

            103     4         107  

Prepaid expenses

        (1 )   4,214     212         4,425  

Intercompany payable / receivable

    732     10,900     (9,804 )   (1,656 )   (172 )    

Accounts payable

        379     8,071     4         8,454  

Accrued expenses

        (4,483 )   8,632     (163 )   5     3,991  
                           

Net cash provided by (used in) operating activities

    8     (42,737 )   83,315     8,403     5     48,994  

Cash flows from investing activities

                                     

Purchases of property and equipment

            (43,260 )   (521 )       (43,781 )

Acquisition of radiation centers

            (43,388 )           (43,388 )

Purchase of joint venture interests

        (1,000 )               (1,000 )

Proceeds from the sale of property and equipment

            1,693             1,693  

Repayments from (loans to) employees

            457             457  

Intercompany notes to / from affiliates

        500         (500 )        

Contribution of capital to joint venture entities

        (8,000 )   (3,711 )       8,000     (3,711 )

Proceeds from sale of equity interest in joint venture

            300     308     (608 )    

Distributions received from joint venture

        1,166     4,140         (5,279 )   27  

Change in other assets and other liabilities

        (2,005 )   (826 )   28     (5 )   (2,808 )
                           

Net cash provided by (used in) investing activities

        (9,339 )   (84,595 )   (685 )   2,108     (92,511 )

Cash flows from financing activities

                                     

Proceeds from issuance of debt (net of original issue discount of $1,950)

        316,550                 316,550  

Principal repayments of debt

        (260,667 )   (10,628 )           (271,295 )

Repayments of finance obligation

            (302 )           (302 )

Payment of call premium on senior subordinated notes

        (5,250 )               (5,250 )

Proceeds from equity contribution

    156         8,000         (8,000 )   156  

Payments of notes receivable from shareholder

    50                     50  

Proceeds from issuance of noncontrolling interest

                    608     608  

Cash distributions to noncontrolling interest holders—redeemable and non-redeemable

                    (3,176 )   (3,176 )

Deconsolidation of noncontrolling interest

                (14 )       (14 )

Payments of loan costs

        (12,791 )               (12,791 )

Cash distributions to shareholders

                (8,455 )   8,455      
                           

Net cash provided by (used in) financing activities

    206     37,842     (2,930 )   (8,469 )   (2,113 )   24,536  
                           

Net increase (decrease) in cash and cash equivalents

    214     (14,234 )   (4,210 )   (751 )       (18,981 )

Cash and cash equivalents, beginning of period

    65     14,314     12,847     5,732         32,958  
                           

Cash and cash equivalents, end of period

  $ 279   $ 80   $ 8,637   $ 4,981   $   $ 13,977  
                           

CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
YEAR ENDED DECEMBER 31, 2009
(in thousands)

 
  Parent   RTS   Subsidiary
Guarantors
  Subsidiary
Non-Guarantors
  Eliminations   Consolidated  

Revenues:

                                     

Net patient service revenue

  $   $   $ 369,728   $ 147,918   $   $ 517,646  

Other revenue

            4,755     1,203         5,958  

(Loss) income from equity investment

    (6,795 )   52,672     4,614         (49,611 )   880  

Intercompany revenue

        845     86,862         (87,707 )    
                           

Total revenues

    (6,795 )   53,517     465,959     149,121     (137,318 )   524,484  

Expenses:

                                     

Salaries and benefits

    962         219,734     38,836         259,532  

Medical supplies

            43,913     1,448         45,361  

Facility rent expenses

            19,964     2,142         22,106  

Other operating expenses

            21,268     3,130         24,398  

General and administrative expenses

    2     739     50,653     3,143         54,537  

Depreciation and amortization

            43,605     2,811         46,416  

Provision for doubtful accounts

            8,526     4,345         12,871  

Interest expense, net

    (10 )   53,831     9,031     (350 )       62,502  

Impairment loss

            3,470     4         3,474  

Intercompany expenses

                87,707     (87,707 )    
                           

Total expenses

    954     54,570     420,164     143,216     (87,707 )   531,197  
                           

(Loss) income before income taxes

    (7,749 )   (1,053 )   45,795     5,905     (49,611 )   (6,713 )

Income tax (expense) benefit

        7,680     (6,460 )   (218 )       1,002  
                           

Net (loss) income

    (7,749 )   (8,733 )   52,255     6,123     (49,611 )   (7,715 )

Net income attributable to noncontrolling interests—redeemable and non-redeemable

                    (1,835 )   (1,835 )
                           

Net (loss) income attributable to Radiation Therapy Services Holdings, Inc. shareholder

    (7,749 )   (8,733 )   52,255     6,123     (51,446 )   (9,550 )

Unrealized comprehensive income (loss):

        1,938     (137 )           1,801  
                           

Comprehensive (loss) income

    (7,749 )   (6,795 )   52,118     6,123     (49,611 )   (5,914 )
                           

Comprehensive income attributable to noncontrolling interests-redeemable and non-redeemable:

                    (1,835 )   (1,835 )
                           

Comprehensive (loss) income attributable to Radiation Therapy Services Holdings, Inc. shareholder

  $ (7,749 ) $ (6,795 ) $ 52,118   $ 6,123   $ (51,446 ) $ (7,749 )
                           


CONSOLIDATING STATEMENTS OF CASH FLOWS
YEAR ENDED DECEMBER 31, 2009
(in thousands)

 
  Parent   RTS   Subsidiary
Guarantors
  Subsidiary
Non-Guarantors
  Eliminations   Consolidated  

Cash flows from operating activities

                                     

Net (loss) income

  $ (7,749 ) $ (8,733 ) $ 52,255   $ 6,123   $ (49,611 ) $ (7,715 )

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:

                                     

Depreciation

            29,211     2,626         31,837  

Amortization

            14,394     185         14,579  

Deferred rent expense

            2,170     1,029         3,199  

Deferred income tax provision

    (34 )   (6,825 )   5,524             (1,335 )

Stock-based compensation

    962                     962  

Impairment loss

            3,470     4         3,474  

Provision for doubtful accounts

            8,526     4,345         12,871  

Loss on the sale of property and equipment

            1,345     (4 )       1,341  

Write-off of acquisition-related costs

            812             812  

Amortization of debt discount

        1,208                 1,208  

Amortization of loan costs

        2,850                 2,850  

Equity interest in net earnings of joint ventures

    6,795     (52,672 )   (4,614 )       49,611     (880 )

Changes in operating assets and liabilities:

                                     

Accounts receivable

            (58 )   (3,732 )       (3,790 )

Income taxes receivable and other receivables

        10,910     2,776     (545 )       13,141  

Inventories

            14     (4 )       10  

Prepaid expenses

        (2 )   1,670     338         2,006  

Intercompany payable / receivable

    58     64,302     (64,057 )   (303 )        

Accounts payable

        (98 )   (1,464 )   597         (965 )

Accrued expenses

        (627 )   (1,280 )   (300 )   (6 )   (2,213 )
                           

Net cash provided by (used in) operating activities

    32     10,313     50,694     10,359     (6 )   71,392  

Cash flows from investing activities

                                     

Purchases of property and equipment

            (33,838 )   (1,605 )       (35,443 )

Acquisition of radiation centers

            (2,449 )           (2,449 )

Restricted cash associated with earn-out provisions of acquisitions

            2,269             2,269  

Purchase of joint venture interests

            (13,593 )           (13,593 )

Proceeds from the sale of property and equipment

            39     105         144  

Repayments from (loans to) employees

            451     27         478  

Contribution of capital to joint venture entities

            (2,665 )       279     (2,386 )

Proceeds from sale of equity interest in joint venture

            250     385     (635 )    

Distributions received from joint venture

        1,142     3,959         (5,101 )    

Change in other assets and other liabilities

    3     (1,976 )   (1,464 )   239     6     (3,192 )
                           

Net cash provided by (used in) investing activities

    3     (834 )   (47,041 )   (849 )   (5,451 )   (54,172 )

Cash flows from financing activities

                                     

Principal repayments of debt

        (18,768 )   (10,925 )           (29,693 )

Repayments of finance obligation

            (1,242 )           (1,242 )

Payments of notes receivable from shareholder

    25                     25  

Proceeds from issuance of noncontrolling interest

                    356     356  

Cash distributions to noncontrolling interest holders—redeemable and non-redeemable

                    (2,876 )   (2,876 )

Cash distributions to shareholders

                (7,977 )   7,977      
                           

Net cash provided by (used in) financing activities

    25     (18,768 )   (12,167 )   (7,977 )   5,457     (33,430 )
                           

Net increase (decrease) in cash and cash equivalents

    60     (9,289 )   (8,514 )   1,533         (16,210 )

Cash and cash equivalents, beginning of period

    5     23,603     21,361     4,199         49,168  
                           

Cash and cash equivalents, end of period

  $ 65   $ 14,314   $ 12,847   $ 5,732       $ 32,958