Annual report pursuant to Section 13 and 15(d)

Consolidated Statements of Cash Flows

v3.6.0.2
Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
OPERATING ACTIVITIES    
Net (loss) income $ (222) $ 2,785
Adjustments to reconcile net (loss) income to net cash provided by operating activities:    
Loss on extinguishment of long-term debt   1,599
Provision for doubtful accounts 5,631 5,234
Depreciation 6,895 5,359
Loss/(gain) on disposal of medical equipment 641 591
Gain on sale of medical equipment (1,231) (2,441)
Amortization of intangible assets 3,849 2,884
Amortization of deferred debt issuance costs 31 127
Stock-based compensation expense 462 996
Deferred income tax expense (240) 1,137
Changes in Assets - (Increase)/Decrease:    
Accounts receivable (4,589) (7,556)
Inventories (250) (158)
Other current assets (88) (228)
Other assets 166 (497)
Changes in Liabilities - Increase/(Decrease):    
Accounts payable and other liabilities (3,146) (2,778)
NET CASH PROVIDED BY OPERATING ACTIVITIES 7,909 7,054
INVESTING ACTIVITIES    
Acquisitions (370) (6,156)
Purchases of medical equipment (5,101) (4,198)
Purchases of property (168) (314)
Purchases of intangible assets (3,526) (5,733)
Proceeds from sale of medical equipment 3,821 4,494
NET CASH USED IN INVESTING ACTIVITIES (5,344) (11,907)
FINANCING ACTIVITIES    
Principal payments on term loans and capital lease obligations (66,999) (65,202)
Cash proceeds from bank loans and revolving credit facility 66,892 70,429
Debt Issuance Costs (7) (157)
Cash Proceeds - Stock Plans 204 265
Common stock repurchased to satisfy taxes on stock based compensation (75) (179)
NET CASH PROVIDED BY FINANCING ACTIVITIES 15 5,156
Net change in cash and cash equivalents 2,580 303
Cash and cash equivalents, beginning of year 818 515
Cash and cash equivalents, end of year 3,398 818
SUPPLEMENTAL DISCLOSURES    
Cash paid for interest 1,234 1,508
Cash paid for income taxes 105 146
NON-CASH TRANSACTIONS    
Additions to medical equipment and property (a) [1] 429 1,415
Medical equipment acquired pursuant to a capital lease $ 2,675 $ 4,233
[1] Amounts consist of current liabilities for medical equipment that have not been included in investing activities. These amounts have not been paid for as of December 31, 2016 and 2015, respectively, but will be included as a cash outflow from investing activities for purchases of medical equipment and property when paid.