| Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 |
|---|---|---|---|---|---|---|
Cash flows used in operating activities: | ||||||
Net loss | ||||||
-66,718 | -17,381 | -26,370 | 8,341 | 6,366 | 1,492 | 1,099 |
Adjustments to reconcile net loss to net cash used in operating activities: | ||||||
Provision for doubtful accounts | ||||||
366 | 25,932 | 38,549 | 18,113 | 11,391 | 10,950 | 3,344 |
Depreciation and amortization | ||||||
21,986 | 21,504 | 17,686 | 7,837 | 4,662 | 3,003 | 1,288 |
Equity compensation | ||||||
3,877 | 7,513 | 8,823 | 5,757 | 1,802 | 979 | 1,401 |
Loss on extinguishment of debt | ||||||
- | -5,435 | - | - | - | - | - |
Loss on contingent consideration | ||||||
-501 | - | -1,350 | - | - | - | - |
Loss on disposal of property and equipment | ||||||
-1,007 | -55 | -163 | -365 | - | -395 | - |
Bargain purchase gain | ||||||
- | - | - | 1,775 | - | - | - |
Amortization of discount on notes payable | ||||||
- | - | - | - | - | - | 48 |
Amortization of deferred financing costs | ||||||
2,797 | 1,564 | 633 | 261 | 32 | 32 | - |
Deferred income taxes | ||||||
-2,878 | 4,136 | -1,772 | -962 | 1,374 | 1,500 | 37 |
Decrease in fair value of contingent related-party note payable | ||||||
- | - | - | - | - | -91 | - |
Changes in operating assets and liabilities: | ||||||
Accounts receivable | ||||||
-19,876 | 43,676 | 45,838 | 46,097 | 15,155 | 14,810 | 11,879 |
Prepaid expenses and other assets | ||||||
5,578 | 6,725 | -2,510 | 1,924 | -190 | 1,287 | 763 |
Accounts payable | ||||||
5,737 | -4,576 | 824 | 5,061 | 106 | 510 | 995 |
Accrued and other current liabilities | ||||||
1,780 | 4,685 | 2,973 | - | - | - | - |
Accrued liabilities | ||||||
- | - | - | 8,821 | -320 | 3,611 | 4,499 |
Accrued litigation | ||||||
-15,607 | 22,645 | 162 | 642 | - | - | - |
Other long-term liabilities | ||||||
-754 | 6,453 | -394 | -171 | 272 | 159 | - |
Net cash used in operating activities | ||||||
-28,854 | 19,292 | 143 | 6,193 | 8,038 | 3,443 | 69 |
Cash flows used in investing activities: | ||||||
Purchase of property and equipment | ||||||
18,949 | 33,041 | 37,304 | 51,525 | 15,584 | 12,975 | 6,264 |
Acquisition of subsidiaries | ||||||
65,827 | - | 18,825 | 89,985 | - | - | - |
Change in funds held on acquisition | ||||||
- | 1,000 | 325 | 1,100 | - | - | - |
Issuance of notes and other receivables - related parties | ||||||
- | - | - | - | 488 | - | - |
Sale of subsidiary | ||||||
- | - | - | - | - | - | 150 |
Escrow funds held on acquisition | ||||||
- | - | - | - | 500 | - | - |
Purchase of intangible assets | ||||||
- | - | - | 540 | - | - | - |
Purchase of other assets, net | ||||||
- | - | - | 252 | 204 | 429 | -500 |
Net cash used in investing activities | ||||||
-84,776 | -34,041 | -56,454 | -143,402 | -19,521 | -13,144 | -7,896 |
Funding of notes receivable, related party | ||||||
- | - | - | - | - | - | 50 |
Collection of notes and other receivables - related parties | ||||||
- | - | - | - | 738 | 50 | 268 |
Acquisition of AdCare, Inc., net of cash acquired | ||||||
- | - | - | - | 3,483 | - | 2,500 |
Cash flows provided by financing activities: | ||||||
Payments on 2015 Credit Facility and Deerfield Facility | ||||||
- | 211,094 | 5,376 | 27,770 | - | - | - |
Proceeds from 2019 Senior Credit Facility, net of deferred financing costs | ||||||
- | 18,000 | 48,930 | 145,007 | - | - | - |
Payments on 2015 Credit Facility and Deerfield Facility, net of borrowings on 2015 Credit Facility revolver | ||||||
- | - | - | - | -12,550 | 5,851 | 2,635 |
Payments on finance leases and other | ||||||
798 | 791 | 834 | 747 | - | - | - |
Proceeds from financing lease obligation, net of deferred financing costs | ||||||
- | 24,621 | - | - | - | - | - |
Repayment of long-term debt — related party | ||||||
- | - | -1,195 | -542 | -2,601 | -1,554 | -2,295 |
Change in funds held on acquisition | ||||||
- | 1,000 | - | - | - | - | - |
Proceeds from long-term debt | ||||||
- | - | - | - | 4,053 | 9,150 | 6,589 |
Proceeds from long-term debt related party | ||||||
- | - | - | - | - | - | 1,500 |
Proceeds from sale of subordinated notes payable | ||||||
- | - | - | - | - | - | 990 |
Payments on long-term debt and capital leases | ||||||
- | - | - | - | 5,742 | 2,433 | 863 |
Payment of employee taxes for net share settlement | ||||||
621 | 1,080 | - | - | - | - | - |
Repayment of subordinated notes payable | ||||||
- | - | - | - | - | - | 40 |
Repurchase of common stock | ||||||
- | - | - | - | 5,710 | 5,063 | - |
Proceeds from sale of common stock initial public offering | ||||||
- | - | - | - | 69,518 | - | - |
Proceeds from sale of common stock private placement | ||||||
- | - | - | - | 6,089 | 7,429 | - |
Dividends paid | ||||||
- | - | - | - | 509 | - | - |
Contributions from noncontrolling interest | ||||||
- | - | - | - | - | 1,979 | - |
Distributions to noncontrolling interest | ||||||
- | - | - | - | 915 | 1,396 | 82 |
Redemption of noncontrolling interest | ||||||
- | - | - | - | - | 2,990 | - |
Net cash provided by financing activities | ||||||
105,221 | 24,603 | 41,525 | - | - | - | - |
Net cash provided by financing activities | ||||||
- | - | - | 107,419 | 58,011 | 10,973 | 8,434 |
Net change in cash and cash equivalents | ||||||
-8,409 | 9,854 | -14,786 | -29,790 | 46,528 | 1,272 | 607 |
Income taxes, net of refunds | ||||||
968 | 367 | 2,626 | 1,250 | 4,156 | 2,870 | 53 |
Supplemental information on non-cash investing and financing transactions: | ||||||
Cash and cash equivalents paid for: | ||||||
Interest, net of capitalized interest | ||||||
31,894 | 16,088 | 4,933 | 3,404 | 1,743 | 1,265 | 730 |
Purchase price | ||||||
- | - | - | - | - | - | 14,591 |
Assumption of debt | ||||||
- | - | - | - | - | - | 6,522 |
Acquisition of equipment through leases | ||||||
975 | 82 | 1,807 | 291 | 614 | - | - |
Accrued purchase of property and equipment | ||||||
1,208 | 800 | 2,650 | 1,487 | - | - | - |
Accrued employee taxes for net share settlement | ||||||
14 | 475 | 895 | - | - | - | - |
Buyer common stock issued | ||||||
- | - | - | - | - | - | 5,569 |
Cash paid for acquisition | ||||||
- | - | - | - | - | - | 2,500 |
2017 Credit Facility | ||||||
Payments on 2017 Credit Facility | ||||||
6,896 | 17,126 | - | - | - | - | - |
Proceeds from 2017 Credit Facility, net of deferred financing costs | ||||||
114,286 | 211,073 | - | - | - | - | - |
AdCare, Inc | ||||||
Payments on AdCare Note | ||||||
750 | - | - | - | - | - | - |
2016 Acquisitions | ||||||
Buyer common stock received (issued) | ||||||
- | -1,000 | 15,105 | - | - | - | - |
Cash (received) paid for acquisition | ||||||
- | -1,000 | 18,825 | - | - | - | - |
Purchase price, including contingent consideration | ||||||
- | -2,000 | 33,930 | - | - | - | - |
2018 Acquisition | ||||||
Purchase price, including contingent consideration | ||||||
85,103 | - | - | - | - | - | - |
Buyer common stock issued | ||||||
5,439 | - | - | - | - | - | - |
Contingent consideration | ||||||
-501 | - | - | - | - | - | - |
Promissory note issued | ||||||
9,636 | - | - | - | - | - | - |
Cash acquired | ||||||
2,700 | - | - | - | - | - | - |
Change in funds held on acquisition | ||||||
1,000 | - | - | - | - | - | - |
Cash paid for acquisition | ||||||
65,827 | - | - | - | - | - | - |