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Supplemental Consolidating Financial Information (Schedule Of Condensed Consolidating Statement Of Cash Flows) (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Jun. 30, 2015
Jun. 30, 2014
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Cash flows from operating activities              
Net (loss) income $ (62,463) $ (204,599) $ (75,397) $ (233,844) $ (349,300) $ (78,200) $ (151,100)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:              
Depreciation     38,331 35,275      
Amortization     6,480 7,609      
Deferred rent expense     338 230      
Deferred income taxes     (781) 378      
Stock-based compensation     5 71      
Provision for doubtful accounts 3,753 3,428 8,221 7,724      
Gain on the sale of property and equipment     (243) 59      
Loss on sale leaseback transaction       135      
Impairment loss   182,000   182,000      
Early extinguishment of debt 37,390   37,390        
Equity initial public offering expenses   4,163   4,163      
Gain on foreign currency transactions     38        
Gain on foreign currency derivative contracts       (4)      
Fair value adjustment of noncontrolling interest and earn-out liability 2,745 204 3,205 403      
Fair value adjustment of embedded derivative 5,217   6,559        
Amortization of debt discount     746 1,301      
Amortization of loan costs     2,630 3,039      
Equity interest in net loss (earnings) of joint ventures (188) 97 (212) 135      
Distribution received from unconsolidated joint ventures     106 106      
Changes in operating assets and liabilities:              
Accounts receivable and other current assets     (37,921) (26,977)      
Income taxes payable     1,649 (649)      
Inventories     124 (439)      
Prepaid expenses     (1,003) 3,096      
Accounts payable and other current liabilities     2,395 13,857      
Accrued deferred compensation     686 591      
Accrued expenses / other current liabilities     19,690 11,610      
Net cash provided by operating activities     13,036 9,869      
Cash flows from investing activities              
Purchase of property and equipment     (25,753) (33,147)      
Acquisition of medical practices     (25,611) (40,843)      
Restricted cash associated with medical practice acquisitions     4,001 (10,992)      
Proceeds from the sale of property and equipment     1,122 73      
Loans to employees     160 (410)      
Purchase of noncontrolling interest - non-redeemable     (1,233)        
Contribution of capital to joint venture entities       (620)      
Proceeds from foreign currency derivative contracts       26      
Premiums on life insurance policies     (670) (450)      
Change in other assets and other liabilities     (156) (401)      
Net cash used in investing activities     (48,140) (86,764)      
Cash flows from financing activities              
Proceeds from issuance of debt     970,618 130,016      
Principal repayments of debt     (911,717) (41,759)      
Repayments of finance obligation     (136) (113)      
Proceeds from issuance of noncontrolling interest     3,230 229      
Proceeds from noncontrolling interest holders - redeemable and non-redeemable     743 1,250      
Cash distributions to noncontrolling interest holders-redeemable and non-redeemable     (2,022) (956)      
Payments for contingent considerations     (12,184)        
Payment of call premium on long term debt     (24,877)        
Payments of costs for equity securities offering       (2,550)      
Payments of loan costs     (25,626) (967)      
Net cash (used in) provided by financing activities     (1,971) 85,150      
Effect of exchange rate changes on cash and cash equivalents     (10) (35)      
Net decrease in cash and cash equivalents     (37,085) 8,220      
Cash and cash equivalents, beginning of period     99,167 17,462 17,462    
Cash and cash equivalents, end of period 62,082 25,682 62,082 25,682 99,167 17,462  
Parent [Member]              
Cash flows from operating activities              
Net (loss) income (66,391) (208,222) (83,825) (247,440)      
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:              
Stock-based compensation     5 71      
Equity initial public offering expenses   4,163   4,163      
Fair value adjustment of noncontrolling interest and earn-out liability 3,083   3,083        
Fair value adjustment of embedded derivative 5,217   6,559        
Equity interest in net loss (earnings) of joint ventures 58,748 204,012 75,506 243,196      
Changes in operating assets and liabilities:              
Income taxes payable       644      
Intercompany payable / receivable     (60,706) 2,659      
Accounts payable and other current liabilities       (859)      
Accrued expenses / other current liabilities     (6)        
Net cash provided by operating activities     (59,384) 2,434      
Cash flows from investing activities              
Intercompany notes to / from affiliates     2,000        
Net cash used in investing activities     2,000        
Cash flows from financing activities              
Payments of costs for equity securities offering       (2,550)      
Net cash (used in) provided by financing activities       (2,550)      
Net decrease in cash and cash equivalents     (57,384) (116)      
Cash and cash equivalents, beginning of period     65,541 161 161    
Cash and cash equivalents, end of period 8,157 45 8,157 45 65,541 161  
21C [Member]              
Cash flows from operating activities              
Net (loss) income (57,975) (204,489) (75,506) (243,694)      
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:              
Deferred income taxes       (49)      
Early extinguishment of debt 31,076   31,076        
Gain on foreign currency derivative contracts       (4)      
Amortization of debt discount     746 905      
Amortization of loan costs     2,630 2,927      
Equity interest in net loss (earnings) of joint ventures 5,271 181,789 1,554 199,226      
Changes in operating assets and liabilities:              
Accounts receivable and other current assets     (1,113) (5)      
Income taxes payable     (82) (1,316)      
Prepaid expenses     (28) (42)      
Intercompany payable / receivable     (46,568) 8,138      
Accounts payable and other current liabilities     (194) 126      
Accrued expenses / other current liabilities     (5,014) 89      
Net cash provided by operating activities     (92,499) (33,699)      
Cash flows from investing activities              
Restricted cash associated with medical practice acquisitions       2      
Loans to employees       (1)      
Intercompany notes to / from affiliates       (2,400)      
Contribution of capital to joint venture entities       (2,370)      
Distributions received from joint venture entities     196 293      
Proceeds from foreign currency derivative contracts       26      
Net cash used in investing activities     196 (4,450)      
Cash flows from financing activities              
Proceeds from issuance of debt     963,900 60,400      
Principal repayments of debt     (820,050) (23,500)      
Proceeds from noncontrolling interest holders - redeemable and non-redeemable       1,250      
Payment of call premium on long term debt     (18,563)        
Payments of loan costs     (25,626)        
Net cash (used in) provided by financing activities     99,661 38,150      
Net decrease in cash and cash equivalents     7,358 1      
Cash and cash equivalents, beginning of period     123 122 122    
Cash and cash equivalents, end of period 7,481 123 7,481 123 123 122  
Subsidiary Guarantors [Member]              
Cash flows from operating activities              
Net (loss) income (4,300) (182,081) (1,394) (199,374)      
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:              
Depreciation     30,441 30,025      
Amortization     4,335 5,053      
Deferred rent expense     188 259      
Deferred income taxes     (214)        
Provision for doubtful accounts 2,036 2,566 4,362 5,357      
Gain on the sale of property and equipment     (248) 84      
Loss on sale leaseback transaction       135      
Impairment loss   182,000   182,000      
Early extinguishment of debt 6,314   6,314        
Fair value adjustment of noncontrolling interest and earn-out liability (110) 204 122 403      
Amortization of debt discount       55      
Equity interest in net loss (earnings) of joint ventures (5,954) (2,014) (7,982) 6,102      
Distribution received from unconsolidated joint ventures     106 106      
Changes in operating assets and liabilities:              
Accounts receivable and other current assets     (9,283) (6,554)      
Income taxes payable     (171) (715)      
Inventories     56 (609)      
Prepaid expenses     (554) 2,018      
Intercompany payable / receivable     91,504 (20,467)      
Accounts payable and other current liabilities     1,950 11,585      
Accrued deferred compensation     492 438      
Accrued expenses / other current liabilities     18,429 10,995      
Net cash provided by operating activities     138,453 26,896      
Cash flows from investing activities              
Purchase of property and equipment     (18,926) (23,295)      
Acquisition of medical practices     (17,661) 933      
Restricted cash associated with medical practice acquisitions     4,001 (616)      
Proceeds from the sale of property and equipment     1,081 28      
Loans to employees     153 (424)      
Intercompany notes to / from affiliates     1,213 (339)      
Purchase of noncontrolling interest - non-redeemable     (1,233)        
Contribution of capital to joint venture entities       (239)      
Distributions received from joint venture entities     2,896 1,314      
Premiums on life insurance policies     (475) (297)      
Change in other assets and other liabilities     (89) 95      
Net cash used in investing activities     (29,040) (22,840)      
Cash flows from financing activities              
Proceeds from issuance of debt     382 5,650      
Principal repayments of debt     (84,290) (8,083)      
Repayments of finance obligation     (136) (113)      
Proceeds from issuance of noncontrolling interest       1,750      
Proceeds from noncontrolling interest holders - redeemable and non-redeemable     743        
Payments for contingent considerations     (12,184)        
Payment of call premium on long term debt     (6,314)        
Net cash (used in) provided by financing activities     (101,799) (796)      
Net decrease in cash and cash equivalents     7,614 3,260      
Cash and cash equivalents, beginning of period     16,614 9,084 9,084    
Cash and cash equivalents, end of period 24,228 12,344 24,228 12,344 16,614 9,084  
Subsidiary Non-Guarantors [Member]              
Cash flows from operating activities              
Net (loss) income 7,957 6,503 16,058 8,284      
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:              
Depreciation     7,890 5,250      
Amortization     2,145 2,556      
Deferred rent expense     150 (29)      
Deferred income taxes     (567) 427      
Provision for doubtful accounts 1,717 862 3,859 2,367      
Gain on the sale of property and equipment     5 (25)      
Gain on foreign currency transactions     38        
Fair value adjustment of noncontrolling interest and earn-out liability (228)            
Amortization of debt discount       341      
Amortization of loan costs       112      
Equity interest in net loss (earnings) of joint ventures (7)   (20) (9)      
Changes in operating assets and liabilities:              
Accounts receivable and other current assets     (27,525) (20,418)      
Income taxes payable     1,902 738      
Inventories     68 170      
Prepaid expenses     (421) 1,120      
Intercompany payable / receivable     15,770 9,670      
Accounts payable and other current liabilities     639 3,005      
Accrued deferred compensation     194 153      
Accrued expenses / other current liabilities     6,281 526      
Net cash provided by operating activities     26,466 14,238      
Cash flows from investing activities              
Purchase of property and equipment     (6,827) (9,852)      
Acquisition of medical practices     (7,950) (41,776)      
Restricted cash associated with medical practice acquisitions       (10,378)      
Proceeds from the sale of property and equipment     41 45      
Loans to employees     7 15      
Intercompany notes to / from affiliates     (3,213) 2,739      
Premiums on life insurance policies     (195) (153)      
Change in other assets and other liabilities     (67) (496)      
Net cash used in investing activities     (18,204) (59,856)      
Cash flows from financing activities              
Proceeds from issuance of debt     6,336 63,966      
Principal repayments of debt     (7,377) (10,176)      
Proceeds from issuance of noncontrolling interest     3,230 468      
Cash distributions to shareholders     (5,114) (2,563)      
Payments of loan costs       (967)      
Net cash (used in) provided by financing activities     (2,925) 50,728      
Effect of exchange rate changes on cash and cash equivalents     (10) (35)      
Net decrease in cash and cash equivalents     5,327 5,075      
Cash and cash equivalents, beginning of period     16,889 8,095 8,095    
Cash and cash equivalents, end of period 22,216 13,170 22,216 13,170 $ 16,889 $ 8,095  
Eliminations [Member]              
Cash flows from operating activities              
Net (loss) income 58,246 383,690 69,270 448,380      
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:              
Equity interest in net loss (earnings) of joint ventures $ (58,246) $ (383,690) (69,270) (448,380)      
Cash flows from investing activities              
Contribution of capital to joint venture entities       1,989      
Distributions received from joint venture entities     (3,092) (1,607)      
Net cash used in investing activities     (3,092) 382      
Cash flows from financing activities              
Proceeds from issuance of noncontrolling interest       (1,989)      
Cash distributions to noncontrolling interest holders-redeemable and non-redeemable     (2,022) (956)      
Cash distributions to shareholders     5,114 2,563      
Net cash (used in) provided by financing activities     $ 3,092 $ (382)