American shared hospital services (AMS)
CashFlow / TTM
Dec'19Sep'19Jun'19Mar'19Dec'18Sep'18Jun'18Mar'18Dec'17Sep'17Jun'17Mar'17Dec'16Sep'16Jun'16Mar'16Dec'15Sep'15Jun'15Mar'15Dec'14Sep'14Jun'14Mar'14Dec'13Sep'13Jun'13Mar'13Dec'12Sep'12Jun'12Mar'12Dec'11Sep'11Jun'11Mar'11
OPERATING ACTIVITIES
Net income

1,430

1,219

1,153

1,375

1,630

3,118

3,105

3,048

2,940

2,194

2,551

2,460

2,250

1,920

1,514

-576

-576

-888

-862

-181

-562

-963

-1,348

-395

-113

163

488

817

813

1,112

1,454

1,499

1,489

0

0

0

Adjustments to reconcile net income to net cash from operating activities:
Depreciation and amortization

7,411

7,452

7,387

7,051

6,818

6,765

6,677

6,732

6,677

6,448

6,457

6,375

6,327

6,460

6,300

6,247

6,190

6,234

6,215

6,221

6,383

6,472

6,592

6,604

6,410

6,279

6,211

6,033

6,096

6,360

6,387

6,367

6,272

0

0

0

Loss on disposal of assets

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

0

-

-

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Loss on early extinguishment of debt

-

-

-

-

-

-

-

-

-

-

-

-

-108

-108

-108

-108

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Deferred income taxes

-444

-211

-181

54

48

-1,721

-1,403

-1,322

-1,266

894

962

882

772

568

458

362

298

151

139

128

76

98

18

8

59

19

19

24

25

0

0

0

-

-

-

-

(Gain) on foreign currency transactions

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

161

0

0

0

-

-

0

0

-

-

0

0

-

-

-

-

Stock-based compensation expense

230

224

219

223

223

334

335

328

323

212

196

206

215

235

251

249

226

237

186

148

138

72

77

77

88

81

72

79

74

85

107

119

125

0

0

0

Net accrued interest on lease financing

-

0

0

0

-

0

0

0

-

0

0

0

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Other non-cash items

-

-

-

-

-

-

-

-

-

-

-

-

-4

-16

51

39

31

-64

-131

-119

-107

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Changes in operating assets and liabilities:
Accounts receivable and other receivables

-

-

-

-

-

-

-

-

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Receivables

1,187

918

1,802

322

420

0

0

0

-

-

-

-

-

-

135

-413

-178

-379

-701

-790

-1,069

-754

-669

385

643

-61

917

270

-655

614

110

206

961

0

0

0

Prepaid expenses and other assets

-260

317

94

120

231

322

327

590

793

1,001

6

365

283

391

378

39

52

17

-79

-20

-11

-6

108

79

-58

-419

-427

-499

316

1,319

1,347

1,573

1,063

0

0

0

Accounts payable, accrued liabilities and deferred revenue

-28

-633

-148

422

-115

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Customer deposits/deferred revenue

-

0

0

0

-

0

0

0

-

0

0

0

-

-

0

0

-

0

0

0

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Customer deposits/deferred revenue

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

0

0

0

-

0

0

0

Accounts payable and accrued liabilities

-

-

-

-

-

-

-

-

-

0

0

0

-

0

0

0

-

0

0

0

-

-987

-81

744

1,023

1,316

991

155

-349

-261

75

538

957

0

0

0

Net cash from operating activities

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

8,939

-

8,517

8,250

6,698

6,773

6,204

6,877

7,600

8,076

0

0

0

-

-

-

-

-

-

-

-

Net cash from operating activities

8,047

7,964

6,721

7,745

8,062

9,102

9,369

8,821

7,853

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

5,690

6,530

4,846

6,850

0

0

0

INVESTING ACTIVITIES
Payment for purchase of property and equipment

990

1,279

1,531

1,352

1,577

1,230

1,118

1,186

803

752

944

823

1,042

433

131

1,045

900

6,391

6,260

5,253

5,212

-1,245

1,453

1,738

1,710

5,824

3,478

3,610

6,634

7,493

7,552

7,421

5,613

0

0

0

Proceeds from insurance

0

211

211

211

51

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net cash (used in) investing activities

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-2,071

-

-6,405

-6,273

-4,493

-4,452

2,009

-685

-1,752

-1,724

0

0

0

-

-

-

-

-

-

-

-

Net cash (used in) investing activities

-990

-1,068

-1,320

-1,141

-1,526

-1,230

-1,118

-1,036

-653

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-8,522

-10,196

-7,802

-5,652

0

0

0

FINANCING ACTIVITIES
Principal payments on long-term debt

1,980

2,156

2,166

2,499

2,467

2,594

2,429

2,303

2,314

2,180

2,072

2,024

2,968

3,024

3,138

3,096

2,058

2,223

2,470

2,708

3,263

3,396

3,796

3,689

3,523

6,456

6,367

6,540

6,818

3,963

4,135

4,113

3,889

0

0

0

Principal payments on finance leases

4,142

4,238

4,133

4,098

4,089

4,137

4,378

4,474

4,954

4,940

4,758

4,624

4,171

4,097

4,277

4,086

4,026

4,172

4,068

4,354

4,429

3,800

3,711

3,599

3,476

3,852

3,829

3,856

3,732

3,655

3,394

3,126

2,983

0

0

0

Proceeds from long-term debt financing on property and equipment

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from long-term debt financing on property and equipment

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from certificate of deposit

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-9,000

-9,000

-9,000

-9,000

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Long term debt financing on property and equipment

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

9,206

10,905

10,505

6,980

0

0

0

Advances on line of credit

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

1,140

740

210

429

369

619

1,179

1,050

1,300

1,300

700

600

350

0

0

0

Payments on line of credit

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

8,780

8,780

8,780

9,980

1,200

0

0

0

-

-

-

-

600

600

800

1,000

1,000

0

0

0

Capital contributions from non-controlling interests

-

-

-

-

-

-

-

-

-

-

-

-

7

0

0

0

-

-

-

-

117

0

0

0

-

0

0

0

-

-

-

-

-

-

-

-

Capital contributions from non-controlling interests

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Capital contributions from non-controlling interests

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

-

-

-

Distributions to non-controlling interests

939

1,085

689

709

690

617

452

560

666

704

689

708

699

796

703

679

670

0

0

0

-

-

-

775

792

581

626

699

780

768

908

988

996

0

0

0

Proceeds from warrants and options exercised

-

-

-

-

-

-

-

-

115

335

-802

335

220

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Investment in subsidiaries by non-controlling interests

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

-

-

-

-

Investment in subsidiaries by non-controlling interests

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

Common stock repurchase

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

2

2

2

-289

0

0

0

0

-

-

-

-

-

-

-

-

Principal payments on short-term financing

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net cash (used in) financing activities

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-5,655

-

-1,343

-1,123

-2,244

-3,163

-8,802

-6,597

-5,898

-6,019

0

0

0

-

-

-

-

-

-

-

-

Effect of changes in foreign exchange rates on cash

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

0

0

0

-

-

-

-

-

-

-

-

Net cash (used in) financing activities

-7,070

-7,438

-6,988

-7,306

-7,246

-7,348

-7,259

-7,337

-7,819

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

3,029

3,877

3,387

-29

0

0

0

Net change in cash, cash equivalents, and restricted cash

-

-

-

0

-

-

-

0

-

-

-

-

862

-338

-34

1,213

1,150

777

862

-22

-842

-552

-413

-66

333

1,237

341

-779

-1,018

77

211

431

1,169

0

0

0

Net change in cash and cash equivalents

-

-

-

-

-

-

-

-

-619

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

SUPPLEMENTAL CASH FLOW DISCLOSURE
Cash paid for interest

1,318

1,320

1,494

1,554

1,612

1,457

1,427

1,508

1,574

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Interest

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

1,747

-

1,717

1,837

1,967

2,070

2,198

2,129

2,125

2,116

2,092

2,257

2,264

2,352

2,394

2,470

2,501

2,503

0

0

0

Cash paid for income taxes

397

600

755

514

459

299

184

116

126

151

199

192

266

0

0

0

-

-

-

-

41

62

95

55

44

53

72

140

158

188

136

107

90

0

0

0

Income taxes paid

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

SCHEDULE OF NONCASH INVESTING AND FINANCING ACTIVITIES
Acquisition of equipment with lease financing

-

-

-

-

-

-

-

-

-

-

-

-

8,878

8,332

7,584

7,053

1,343

2,320

2,137

4,869

3,709

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Acquisition of equipment with long-term debt financing

-

-

-

-

-

-

-

-

992

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Interest capitalized to property and equipment

110

120

116

114

115

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Right of use assets and lease liabilities

1,362

0

0

0

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Acquisition of equipment with long-term debt financing

-

-

-

-

-

-

-

-

992

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Acquisition of equipment with capital lease financing

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

3,199

3,192

6,312

6,400

0

0

0