Alliance healthcare services, inc (AIQ)
CashFlow / Yearly
Dec'16Dec'15Dec'14Dec'13Dec'12Dec'11Dec'10Dec'09
Operating activities:
Net income

17,478

27,115

25,501

-8,442

-1,163

-155,104

-28,763

3,545

Adjustments to reconcile net income to net cash provided by operating activities:
Provision for doubtful accounts

2,255

2,911

2,634

3,415

2,871

6,046

1,343

2,387

Share-based payment

2,713

1,701

1,515

1,487

730

4,695

5,580

6,080

Depreciation and amortization

65,533

57,920

62,851

77,292

95,194

106,418

104,760

105,918

Amortization of deferred financing costs

8,126

2,554

1,926

3,052

4,006

3,947

2,744

2,384

Accretion of discount on long-term debt

513

481

447

1,013

1,690

1,611

1,528

2,220

Adjustment of derivatives to fair value

-727

-29

-342

-

-

-

-

-

Distributions from unconsolidated investees

1,335

3,880

5,245

-

-

-

-

-

Earnings from unconsolidated investees

1,290

3,391

4,654

-

-

-

-

-

Deferred income taxes

1,780

6,350

6,582

-

-

-

-

-

Adjustment of derivatives to fair value

-

-

-

21

-46

113

-186

4,035

Distributions more than undistributed earnings from investees

-

-

-

-337

-41

450

-1,223

106

Deferred income taxes

-

-

-

-12,486

-7,030

-38,189

-20,765

-894

Gain on sale of assets, net

1,133

1,883

565

-

-

-

-

-

Gain on sale of assets

-

-

-

-

-2,087

-2,167

589

1,277

Non-cash gain on step acquisition

0

10,672

0

-

-

-

-

-

Loss on extinguishment of debt

-

-

-

-26,018

0

0

-

-14,600

Other non-cash gain

423

209

0

-

-

-

-

-

Impairment charges

632

6,817

308

-

-

-

-

0

Changes in fair value of contingent consideration related to acquisitions

4,790

0

0

-

-

-

-

-

Gain on sale of assets

-

-

-

1,391

-2,087

-2,167

589

1,277

Impairment charges

-

-

-

13,031

-

-

-

-

Excess tax benefit from share-based payment arrangements

100

-5

623

-

-

-

-

-

Impairment charges

-

-

-

-

0

167,792

42,095

-

Excess tax benefit from share-based payment arrangements

-

-

-

-

-

-

32

12

Changes in operating assets and liabilities, net of the effects of acquisitions:
Accounts receivable

6,270

7,112

1,424

4,808

-5,510

8,489

538

-2,925

Prepaid expenses

-3,567

877

5,064

2,475

-1,384

-3,698

312

-2,090

Other current assets

-1,267

-1,494

114

-1,672

-403

703

-603

-1,724

Other assets

881

-2,607

1,852

-2,990

-896

-988

-228

209

Accounts payable

8,040

3,442

953

-4,281

-3,729

2,800

-4,419

4,095

Accrued compensation and related expenses

4,962

-1,363

-1,358

-1,315

4,277

645

-315

-1,264

Accrued interest payable

-15

168

1,509

-3,436

-1,501

696

2,023

147

Income taxes payable

868

40

31

-

-252

-294

-326

-488

Other accrued liabilities

3,888

454

6,439

-5,130

-2,317

-4,634

-1,326

-622

Net cash provided by operating activities

108,782

92,461

100,629

86,522

-

-

-

-

Other liabilities

-

-

-

-

-

-

-

-77

Net cash provided by operating activities

-

-

-

-

103,143

93,527

104,928

139,131

Investing activities:
Equipment purchases

56,401

55,511

32,236

27,048

37,564

49,609

64,522

73,830

Increase in deposits on equipment

11,768

15,751

9,228

193

2,968

-5,878

2,163

-3,733

Acquisitions, net of cash received

25,912

49,140

16,043

-

0

47,725

34,298

760

Increase in cash from escrow

-

-

-

475

-2,496

-1,063

-485

-2,947

Increase in notes receivable

0

0

2,776

-

0

-

-

-

Investment in unconsolidated joint ventures

-

-

-

-

-

-

-

240

Proceeds from sale of assets

1,830

1,941

1,557

3,156

37,450

573

3,349

7,698

Net cash used in investing activities

-92,251

-118,461

-58,726

-24,560

-

-

-

-

Financing activities:
Principal payments on equipment debt and capital lease obligations

16,925

12,697

10,368

-

-

-

-

-

Proceeds from equipment debt

7,101

27,049

4,527

-

-

-

-

450,800

Principal payments on term loan facility

5,200

9,951

4,900

-

-

-

-

-

Proceeds from term loan facility

0

29,850

0

-

-

-

-

-

Principal payments on equipment debt and capital lease obligations

-

-

-

14,233

-

-

-

-

Investment in unconsolidated joint ventures

-

-

-

-

-

-

250

-

Net cash used in investing activities

-

-

-

-

-586

-89,820

-97,399

-60,452

Proceeds from equipment debt

-

-

-

4,846

6,526

1,885

358

1,469

Principal payments on term loan facility

-

-

-

342,710

83,515

31,450

4,600

351,600

Principal payments on equipment debt

-

-

-

-

13,566

12,207

6,904

8,218

Proceeds from term loan facility

-

-

-

487,200

0

0

-

-

Principal payments on revolving loan facility

61,000

33,000

45,000

-

0

25,000

0

-

Proceeds from revolving loan facility

63,000

50,500

28,000

19,000

0

25,000

0

-

Payments of debt issuance costs and deferred financing costs

25,741

808

0

-

-

-

-

-

Distributions to noncontrolling interest in subsidiaries

23,526

21,659

16,970

-

-

-

-

-

Contributions from noncontrolling interest in subsidiaries

1,411

1,732

881

-

-

-

-

-

Equity purchase of noncontrolling interest

0

0

691

-

0

-

-

-

Payments of debt retirement costs

-

-

-

-

-

-

-

757

Payments of contingent consideration

-

-

-

-

1,797

1,626

355

-

Proceeds from senior subordinated notes

-

-

-

-

-

-

-

187,511

Payments of debt issuance and amendment costs

-

-

-

-

-

-

-

17,794

Noncontrolling interest in subsidiaries

-

-

-

14,409

11,035

6,826

4,575

5,428

Excess tax benefit from share-based payment arrangements

100

-5

623

-

-

-

-

-

Principal payments on senior notes

-

-

-

190,000

0

0

5,582

294,418

Payments of debt issuance costs

-

-

-

16,522

3,235

6,332

484

-

Purchase of derivative instruments

-

-

-

815

0

0

-

-

Issuance of common stock

1

1

0

-

-

-

-

-

Proceeds from exercise of stock options

614

25

466

-

-

-

-

-

Purchase of treasury stock

0

0

140

121

148

179

219

1,906

Settlement of contingent consideration related to acquisitions

825

0

0

-

-

-

-

-

Excess tax benefit from share-based payment arrangements

-

-

-

-

0

-

32

12

Proceeds from shared-based payment arrangements

-

-

-

527

0

56

78

229

Proceeds from shareholder transaction

28,630

0

0

-

-

-

-

-

Net cash used in financing activities

-32,360

31,037

-43,572

-67,237

-

-

-

-

Net cash (used in) provided by financing activities

-

-

-

-

-106,770

-56,679

-22,251

-40,100

Net increase (decrease) in cash and cash equivalents

-15,829

5,037

-1,669

-5,275

-4,213

-52,972

-14,722

38,579

Supplemental disclosure of cash flow information:
Interest paid

25,368

23,373

21,037

-

-

-

-

-

Interest paid

-

-

-

35,495

50,355

44,396

43,401

41,198

Income taxes paid (refunded), net

-3,852

-664

6,504

2,463

760

-2,708

425

-553

Supplemental disclosure of non-cash investing and financing activities:
Net book value of assets exchanged

170

199

0

5

5,434

315

1,602

2,132

Capital lease obligations related to the purchase of equipment

6,558

11,273

1,725

-

-

-

-

9,703

Changes in equipment purchases in accounts payable and accrued equipment

-4,591

3,700

834

-

-

-

-

-

Extinguishment of note receivable (Note 3)

0

3,071

0

-

-

-

-

-707

Transfer of equity investment as consideration in step acquisition (Note 3)

0

721

0

-

-

-

-

-

Transfer of assets as consideration in acquisitions (Note 3)

9,900

477

0

-

-

-

-

3,781

Transfer of fair value of equity investment in step acquisition (Note 3)

0

13,645

0

-

-

-

-

-

Capital lease obligations related to the purchase of equipment

-

-

-

0

4,017

6,587

575

-

Capital lease obligations transferred

-

-

-

-

-

-2,631

0

-

Unrealized gain (loss) on hedging transactions, net of taxes

-

-

-

-

-234

-281

1,723

-

Equipment debt assumed in connection with acquisitions

-

-

-

-

-

25,973

0

-

Comprehensive gain from hedging transactions, net of taxes

-

-

-

-

-

-

-

-233

Equipment purchases in accounts payable and accrued equipment

-

-

-

560

282

2,977

229

4,205

Contingent consideration for acquisitions

-

-

-

-

308

0

3,489

-

Noncontrolling interest assumed in connection with acquisitions

39,141

36,231

13,014

-

1,254

39,610

5,036

-

Mandatorily redeemable noncontrolling interest in connection with acquisition (Note 3)

0

2,386

0

-

-

-

-

-

Fair value of contingent consideration related to acquisitions

420

5,750

0

-

-

-

-

-

Adjustment to equity of noncontrolling interest

-

-

-

-

0

-

-

-

Debt related to purchase of equipment

0

0

3,183

-

0

-

-

-

Adjustment to equity of noncontrolling interest

0

0

1,700

-

0

-

-

-