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INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
CASH FLOWS FROM OPERATING ACTIVITIES:    
NET INCOME (LOSS) $ (103) $ 1,333
Discontinued operations (22) (15)
Income from continuing operations (81) 1,348
Adjustments to reconcile income (loss) from continuing operations to net cash provided by (used in) operating activities:    
Depreciation and amortization 2,881 2,487
Provision for doubtful accounts 0 1,970
Deferred income tax provision 0 354
Provision for self-insured professional liability, net of cash payments 956 (83)
Stock-based compensation 284 241
Gain on sale of unconsolidated affiliate 0 (733)
Provision for leases in excess of cash payments (453) (91)
Deferred bonus 0 500
Other 140 123
Changes in assets and liabilities affecting operating activities:    
Receivables, net 2,017 (6,518)
Prepaid expenses and other assets (439) 1,081
Trade accounts payable and accrued expenses (86) (1,468)
Net cash provided by (used in) continuing operations 5,219 (789)
Discontinued operations (474) (67)
Net cash provided by (used in) operating activities 4,745 (856)
CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (2,012) (2,237)
Net cash used in continuing operations (2,012) (2,237)
Discontinued operations 0 0
Net cash used in investing activities (2,012) (2,237)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt obligations (4,762) (9,193)
Proceeds from issuance of debt 5,651 12,567
Financing costs (132) (10)
Issuance and redemption of employee equity awards (78) (94)
Payment of common stock dividends (350) (346)
Payment for preferred stock restructuring (168) (163)
Net cash provided by financing activities 161 2,761
Discontinued operations 0 0
Net cash provided by financing activities 161 2,761
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 2,894 (332)
CASH AND CASH EQUIVALENTS, beginning of period 3,524 4,263
CASH AND CASH EQUIVALENTS, end of period 6,418 3,931
SUPPLEMENTAL INFORMATION:    
Cash payments of interest 1,432 1,231
Cash payments (refunds) of income taxes $ (16) $ 6