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CONDENSED CONSOLIDATED AND COMBINED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Jun. 30, 2016
Jun. 30, 2015
Cash flows from operating activities:        
Net income (loss) $ (243,966) $ 2,205 $ (248,653) $ 8,029
Adjustments to reconcile net income (loss) to net cash provided by operating activities:        
Depreciation and amortization 31,463 32,141 62,620 63,839
Non-cash interest expense 729 0 729 0
Benefit from deferred income taxes (47,451) 0 (47,451) 0
Stock-based compensation expense 1,897 0 1,897 0
Impairment of long-lived assets and goodwill 250,400 0 250,400 0
Non-cash changes in self-insurance reserves 5,418 0 5,418 0
Other non-cash income, net (33) (1,137) (587) (1,508)
Changes in operating assets and liabilities, net of acquisitions:        
Patient accounts receivable, net 4,911 17,642 (7,211) 16,830
Due to and due from third-party payors, net (4,745) 17,218 5,355 1,748
Inventories, prepaid expenses and other current assets 5,103 4,127 2,277 7,585
Accounts payable and accrued liabilities 33,234 (16,073) 36,074 (73,902)
Long-term assets and liabilities, net (164) 223 325 75
Net cash provided by operating activities 36,796 56,346 61,193 22,696
Cash flows from investing activities:        
Capital expenditures for property and equipment (20,367) (10,471) (33,207) (20,410)
Capital expenditures for software (1,278) (1,664) (3,804) (2,661)
Acquisitions, net of cash acquired 0 (2,012) 0 (2,012)
Proceeds from sales of property and equipment 0 2,917 858 3,017
Other investing activities 492 (1,867) 544 (3,292)
Net cash used in investing activities (21,153) (13,097) (35,609) (25,358)
Cash flows from financing activities:        
Borrowings of long-term debt 1,255,500 75 1,255,520 135
Repayments of long-term debt (3,188) (340) (4,277) (736)
Increase (decrease) in Due to Parent, net 31,669 (42,939) 25,183 9,261
Increase (decrease) in receivables facility, net 0 (2,854) 0 (5,187)
Payments of debt issuance costs (28,003) 0 (28,003) 0
Cash paid to Parent in spin-off transaction (1,217,336) 0 (1,217,336) 0
Cancellation of restricted stock awards for payroll tax withholdings on vesting shares 27 0 27 0
Cash distributions to noncontrolling investors (163) (1,292) (2,647) (1,422)
Purchases of shares from noncontrolling investors 0 (722) (12) (722)
Net cash provided by (used in) financing activities 38,506 (48,072) 28,455 1,329
Net change in cash and cash equivalents 54,149 (4,823) 54,039 (1,333)
Cash and cash equivalents at beginning of period 996 6,049 1,106 2,559
Cash and cash equivalents at end of period 55,145 1,226 55,145 1,226
Supplemental cash flow information:        
Interest payments, net 8,894 23,828 36,347 49,630
Income tax payments, net of refunds (after spin-off transaction) $ 34 $ 0 $ 34 $ 0