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INDEPENDENCE HOLDING COMPANY CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
CASH FLOWS PROVIDED BY (USED BY) OPERATING ACTIVITIES:    
Net income (loss) $ 5,040 $ 4,330
Adjustments to reconcile net income to net change in cash from operating activities:    
Amortization of deferred acquisition costs 1,440 1,594
Net realized investment gains (4,619) (1,137)
Net impairment losses recognized in earnings   83
Equity income from equity method investments (906) (458)
Depreciation and amortization 1,163 990
Share-based compensation expense 128 478
Deferred tax expense (benefits) 3,225 1,789
Other adjustments to reconcile net income 1,906 1,782
Changes in assets and liabilities:    
Net sales (purchases) of trading securities 764 (928)
Change in insurance liabilities 21,207 803
(Additions) reductions to deferred acquisition costs, net (1,387) (1,776)
Change in net amounts due from and to reinsurers (5,676) (142,652)
Change in premium and claim funds (14,741) 3,410
Change in income tax liability 640 1,013
Change in due and unpaid premiums (485) (1,749)
Change in other assets 5,006 (155)
Change in other liabilities (1,422) (6,260)
Net change in cash from operating activities 11,283 (138,843)
CASH FLOWS PROVIDED BY (USED BY) INVESTING ACTIVITIES:    
Change in net amount due from and to securities brokers 5,305 4,126
Net sales of securities under resale and repurchase agreements 20,538 146
Sales of equity securities 7,500 4,928
Purchases of equity securities   (2,001)
Sales of fixed maturities 88,859 246,167
Maturities and other repayments of fixed maturities 14,663 12,797
Purchases of fixed maturities (149,871) (133,450)
Change in other investments   3,185
Change in notes receivable (121) (4,292)
Other investing activites 62 (896)
Net change in cash from investing activities (13,065) 130,710
CASH FLOWS PROVIDED BY (USED BY) FINANCING ACTIVITIES:    
Payments for repurchases of common stock (565) (457)
Excess tax expense from expired stock options and vesting of restricted stock   (57)
Cash paid in acquisitions of noncontrolling interests (1,199) (267)
Proceeds (withdrawals) of investment-type insurance contracts (787) 392
Dividends paid   (421)
Other financing activities (583) 2
Net change in cash from financing activities (3,134) (808)
Net change in cash and cash equivalents (4,916) (8,941)
Cash and cash equivalents, beginning of period 23,945 18,227
Cash and cash equivalents, end of period $ 19,029 $ 9,286