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CONDENSED CONSOLIDATED AND COMBINED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Cash flows from operating activities:    
Net income (loss) $ (27,205) $ (4,687)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Depreciation and amortization 22,120 31,157
Non-cash interest expense 730 0
Provision for (benefit from) deferred income taxes 601 0
Stock-based compensation expense 2,797 0
Impairment of long-lived assets and goodwill 3,300 0
Loss (gain) on sale of hospitals, net (870) 0
Changes in reserves for self-insurance claims, net of payments 4,212 7,990
Changes in reserves for legal, professional and settlement costs, net of payments (3,651) 0
Other non-cash expense (income), net (42) (554)
Changes in operating assets and liabilities, net of acquisitions and divestitures:    
Patient accounts receivable, net (17,163) (12,122)
Due from and due to third-party payors, net 11,041 12,339
Inventories, prepaid expenses and other current assets (16,674) (2,589)
Accounts payable and accrued liabilities 38,065 (7,626)
Long-term assets and liabilities, net 1,265 489
Net cash provided by (used in) operating activities 18,526 24,397
Cash flows from investing activities:    
Capital expenditures for property and equipment (23,217) (12,840)
Capital expenditures for software (1,506) (2,526)
Proceeds from the sale of hospitals 4,282 0
Proceeds from other asset sales 0 858
Other investing activities 0 52
Net cash provided by (used in) investing activities (20,441) (14,456)
Cash flows from financing activities:    
Borrowings (repayments) of revolving credit facilities, net 78,000 0
Borrowings of long-term debt 0 20
Repayments of long-term debt (7,109) (1,089)
Increase (decrease) in Due to Parent, net 0 (6,486)
Payments of debt issuance costs (47) 0
Cancellation of restricted stock awards for payroll tax withholdings on vested shares (1,028) 0
Cash distributions to noncontrolling investors (3,814) (2,484)
Purchases of shares from noncontrolling investors 0 (12)
Net cash provided by (used in) financing activities 66,002 (10,051)
Net change in cash and cash equivalents 64,087 (110)
Cash and cash equivalents at beginning of period 25,455 1,106
Cash and cash equivalents at end of period 89,542 996
Supplemental cash flow information:    
Interest payments, net 15,468 27,452
Income tax payments, net of refunds (after the Spin-off) 0 0
Non-cash purchases of property and equipment under capital lease obligations $ 0 $ 2,023