ALLIANCE HEALTHCARE SERVICES, INC AIQ Cash Flow

Alliance healthcare services, inc (AIQ)

CashFlow / TTM

Jun'17	Mar'17	Dec'16	Sep'16	Jun'16	Mar'16	Dec'15	Sep'15	Jun'15	Mar'15	Dec'14	Sep'14	Jun'14	Mar'14	Dec'13	Sep'13	Jun'13	Mar'13	Dec'12	Sep'12	Jun'12	Mar'12	Dec'11	Sep'11	Jun'11	Mar'11
Operating activities:
Net income
17,691	18,537	17,478	20,428	27,666	24,419	27,115	27,951	22,741	26,619	25,501	18,924	12,401	-3,874	-8,442	-9,469	-9,561	1,821	-1,163	-13,512	-151,889	-156,126	-155,104	0	0	0
Adjustments to reconcile net income to net cash provided by operating activities:
Provision for doubtful accounts
2,066	2,487	2,255	2,201	3,213	2,743	2,911	3,008	2,542	2,519	2,634	3,181	2,984	3,022	3,415	2,882	3,110	3,055	2,871	4,976	5,726	6,544	6,046	0	0	0
Share-based payment
1,617	1,692	2,713	2,646	2,662	2,714	1,701	1,640	1,624	1,570	1,515	1,568	1,462	1,415	1,487	1,567	1,423	254	730	1,176	2,095	4,171	4,695	0	0	0
Depreciation and amortization
68,223	67,390	65,533	63,231	61,400	59,743	57,920	57,028	57,108	58,772	62,851	67,315	71,727	74,729	77,292	79,152	84,598	90,047	95,194	100,895	103,373	106,497	106,418	0	0	0
Amortization of deferred financing costs
9,738	9,621	8,126	5,642	3,768	3,031	2,554	3,088	3,076	1,931	1,926	1,933	1,949	2,370	3,052	3,643	4,123	4,209	4,006	3,885	4,455	4,199	3,947	0	0	0
Accretion of discount on long-term debt
522	518	513	507	503	493	481	470	457	450	447	457	481	704	1,013	1,309	1,602	1,691	1,690	1,686	1,661	1,637	1,611	0	0	0
Adjustment of derivatives to fair value
-761	-834	-727	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Distributions from unconsolidated investees
1,106	1,261	1,335	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Earnings from unconsolidated investees
1,348	1,374	1,290	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Adjustment of derivatives to fair value
-	-	-	-	-	-	-	-	0	0	-	339	6	113	21	-681	-453	-155	-46	119	179	123	113	0	0	0
Distributions more than undistributed earnings from investees
-	-	-	-	-	-	-	-	0	0	-	-999	-580	-666	-337	71	-171	654	-41	-607	-26	-832	450	0	0	0
Deferred income taxes
0	0	-	0	0	0	-	0	0	0	-	-955	-7,800	-11,811	-12,486	-12,527	-9,115	-4,605	-7,030	-12,856	-39,471	-39,429	-38,189	0	0	0
Gain on sale of assets, net
1,628	1,319	1,133	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Gain on sale of assets
-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	807	-83	-1,176	-2,087	-2,627	-3,133	-2,337	-2,167	0	0	0
Gain on sale of assets
-	-	-	-	-	-	-	-	-	-	-	368	467	445	1,391	807	-83	-1,176	-2,087	-2,627	-3,133	-2,337	-2,167	0	0	0
Impairment charges
-	-	-	-	-	-	-	-	0	0	-	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Excess tax benefit from share-based payment arrangements
536	536	100	87	-436	-446	-5	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Excess tax benefit from share-based payment arrangements
-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Changes in operating assets and liabilities, net of the effects of acquisitions:
Accounts receivable
8,935	4,990	6,270	7,225	7,924	8,020	7,112	1,767	435	930	1,424	3,702	3,307	1,523	4,808	-1,400	-957	-1,419	-5,510	-1,784	898	308	8,489	0	0	0
Prepaid expenses
-4,537	-3,612	-3,567	-449	-503	-270	877	5,364	7,672	7,028	5,064	1,220	-1,012	-333	2,475	2,186	1,933	-247	-1,384	-1,967	-1,202	-2,842	-3,698	0	0	0
Other current assets
0	0	-	-	0	0	-	-	418	538	114	-579	-2,071	-1,548	-1,672	-1,703	-862	415	-403	-1,764	-407	-1,499	703	0	0	0
Other assets
5,053	936	881	-1,398	-6,313	-1,441	-2,607	-404	1,292	693	1,852	-2,065	-2,792	-2,789	-2,990	-1,260	-2,941	-1,228	-896	-1,217	534	-1,937	-988	0	0	0
Accounts payable
879	10,995	8,040	11,831	5,393	-1,614	3,442	139	4,065	5,120	953	-2,455	-4,881	-6,116	-4,281	-988	-942	-1,973	-3,729	-4,925	-7,314	-735	2,800	0	0	0
Accrued compensation and related expenses
-2,566	-1,412	4,962	3,006	1,117	3,208	-1,363	2,171	2,455	2,890	-1,358	-1,665	-1,276	-1,552	-1,315	-135	-29	-1,188	4,277	2,296	2,096	-1,180	645	0	0	0
Accrued interest payable
63	-107	-15	-17	129	179	168	136	13	24	1,509	-1,836	603	-5,378	-3,436	-5,084	-3,754	-1,764	-1,501	552	923	1,140	696	0	0	0
Income taxes payable
954	906	868	0	0	0	-	-	-	-	31	0	0	0	-	-262	-275	-277	-252	-343	-332	-298	-294	0	0	0
Other accrued liabilities
8,555	-724	3,888	5,566	3,104	6,054	454	1,428	5,915	4,269	6,439	-1,199	-312	-818	-5,130	-5,513	-3,760	-5,164	-2,317	-3,173	-2,660	-4,819	-4,634	0	0	0
Net cash provided by operating activities
100,294	105,950	108,782	109,861	102,750	94,389	92,461	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Net cash provided by operating activities
-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	88,152	92,890	89,262	103,143	102,593	89,612	98,409	93,527	0	0	0
Investing activities:
Equipment purchases
33,631	39,565	56,401	69,106	63,104	65,621	55,511	48,424	45,362	34,066	32,236	31,146	29,947	27,227	27,048	40,120	37,994	39,375	37,564	30,033	38,457	43,441	49,609	0	0	0
Increase in deposits on equipment
5,925	13,711	11,768	10,849	19,663	18,404	15,751	18,962	15,535	12,571	9,228	4,158	7,705	1,547	193	-9,156	-6,447	-2,679	2,968	6,639	-2,659	-4,476	-5,878	0	0	0
Acquisitions, net of cash received
21,275	25,418	25,912	33,142	31,738	26,528	49,140	37,171	38,575	39,673	16,043	0	0	0	-	-	-	-	-	-	-	0	-	-	-	-
Increase in cash from escrow
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-1,049	-2,496	0	0	0	-	-	-	-
Proceeds from sale of assets
2,431	1,571	1,830	2,736	1,791	2,651	1,941	1,440	1,507	1,535	1,557	1,058	1,468	1,702	3,156	32,907	35,208	35,212	37,450	7,807	4,802	4,231	573	0	0	0
Net cash used in investing activities
-58,400	-77,123	-92,251	-110,361	-112,714	-107,902	-118,461	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Financing activities:
Principal payments on equipment debt and capital lease obligations
17,031	17,070	16,925	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Proceeds from equipment debt
4,446	8,678	7,101	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Principal payments on term loan facility
5,200	5,200	5,200	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Principal payments on equipment debt and capital lease obligations
-	-	-	-	-	-	-	-	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Net cash used in investing activities
-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	1,575	4,900	-435	-586	-26,309	-30,051	-80,139	-89,820	0	0	0
Proceeds from equipment debt
-	-	-	-	-	-	-	-	-	-	-	-	-	-	4,846	9,717	10,517	10,518	6,526	0	0	0	-	-	-	-
Principal payments on term loan facility
-	-	-	-	-	-	-	-	0	0	-	4,900	4,725	328,935	342,710	416,000	417,950	95,515	83,515	12,000	35,150	33,300	31,450	0	0	0
Principal payments on equipment debt
-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	14,056	14,498	13,706	13,566	14,457	13,970	14,476	12,207	0	0	0
Principal payments on revolving loan facility
57,000	64,000	61,000	0	0	0	-	-	-	-	45,000	0	0	0	-	0	0	0	-	-	-	-	-	-	-	-
Proceeds from revolving loan facility
55,500	52,000	63,000	53,500	45,500	42,500	50,500	36,000	36,000	35,000	28,000	37,000	37,000	35,000	19,000	0	0	0	-	-	-	-	-	-	-	-
Payments of debt issuance costs and deferred financing costs
970	995	25,741	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Distributions to noncontrolling interest in subsidiaries
23,174	24,977	23,526	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Contributions from noncontrolling interest in subsidiaries
2,396	1,697	1,411	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Equity purchase of noncontrolling interest
-	-	-	-	-	-	-	-	-	-	691	0	0	0	-	0	0	0	-	-	-	-	-	-	-	-
Payments of debt issuance and amendment costs
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	0
Noncontrolling interest in subsidiaries
-	-	-	-	-	-	-	-	0	0	-	16,426	14,134	13,836	14,409	12,705	14,187	14,321	11,035	10,876	8,979	6,925	6,826	0	0	0
Excess tax benefit from share-based payment arrangements
536	536	100	87	-436	-436	-5	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Payments of debt issuance costs
-	-	-	-	-	-	-	-	-	-	-	-	-	-	16,522	16,020	12,529	3,302	3,235	0	0	0	-	-	-	-
Issuance of common stock
0	0	1	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Proceeds from exercise of stock options
0	129	614	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Purchase of treasury stock
-	-	-	-	-	-	-	-	-	-	140	261	261	261	121	104	138	137	148	0	0	0	-	-	-	-
Settlement of contingent consideration related to acquisitions
35	845	825	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Excess tax benefit from share-based payment arrangements
-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Proceeds from shared-based payment arrangements
-	-	-	-	-	-	-	-	-	0	-	591	901	582	527	0	0	0	-	-	-	-	56	0	0	0
Proceeds from shareholder transaction
0	1	28,630	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Net cash used in financing activities
-43,560	-50,046	-32,360	-24,740	-9,116	24,715	31,037	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Net cash (used in) provided by financing activities
-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	-119,830	-112,653	-118,260	-106,770	-37,446	-61,866	-60,039	-56,679	0	0	0
Net increase (decrease) in cash and cash equivalents
-1,666	-21,219	-15,829	-25,240	-19,080	11,202	5,037	6,045	12,082	2,362	-1,669	-10,266	-15,686	-1,540	-5,275	-30,103	-14,863	-29,433	-4,213	38,838	-2,305	-41,769	-52,972	0	0	0
Supplemental disclosure of cash flow information:
Interest paid
24,972	25,206	25,368	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Interest paid
-	-	-	-	-	-	-	-	0	0	-	25,299	21,844	32,327	35,495	43,301	48,871	49,179	50,355	47,883	47,389	45,629	44,396	0	0	0
Income taxes paid (refunded), net
-3,713	-3,770	-3,852	-889	-610	-777	-664	857	1,367	6,498	6,504	6,322	5,527	745	2,463	2,174	2,164	2,278	760	328	172	-2,493	-2,708	0	0	0
Supplemental disclosure of non-cash investing and financing activities:
Net book value of assets exchanged
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	5,434	0	0	0	-	-	-	-
Changes in equipment purchases in accounts payable and accrued equipment
-6,389	-8,090	-4,591	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Extinguishment of note receivable (Note 3)
-	-	-	-	-	-	3,071	3,071	3,071	3,071	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Capital lease obligations related to the purchase of equipment
-	-	-	-	-	-	-	-	0	0	-	0	0	0	-	-	-	-	4,017	0	0	0	-	-	-	-
Unrealized gain (loss) on hedging transactions, net of taxes
-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	-507	-598	-369	-234	0	0	0	-	-	-	-
Comprehensive gain from hedging transactions, net of taxes
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	0
Equipment purchases in accounts payable and accrued equipment
-	-	-	-	-	-	-	-	0	0	-	458	592	-890	560	1,355	-868	1,049	282	2,914	3,145	3,501	2,977	0	0	0
Noncontrolling interest assumed in connection with acquisitions
36,681	37,425	39,141	8,762	18,581	17,349	36,231	43,431	33,612	33,612	13,014	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Debt related to purchase of deposits on equipment
-	-	-	-	-	-	-	-	-	0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-
Adjustment to equity of noncontrolling interest
-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	0	0	0	-	-	-	-	-	-	-	-
Debt related to purchase of equipment
-	-	-	-	-	-	-	-	-	0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-
Adjustment to equity of noncontrolling interest
-	-	-	-	-	-	-	-	-	-	1,700	0	0	0	-	0	0	0	-	-	-	-	-	-	-	-
Debt related to purchase of deposits on equipment
-	-	-	-	-	-	-	-	-	-	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-
Debt related to other assets
-	-	-	-	-	-	-	-	-	0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-