| Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 |
|---|---|---|---|---|---|---|---|---|---|
OPERATING ACTIVITIES | |||||||||
Net income (loss) | |||||||||
1,361 | -1,095 | -20,707 | -222 | 2,785 | 3,357 | 1,669 | -1,489 | -45,443 | -1,852 |
Adjustments to reconcile net income (loss) to net cash provided by operating activities: | |||||||||
Gain on derivative liabilities | |||||||||
- | - | - | - | - | - | - | - | 83 | 207 |
Loss on extinguishment of long-term debt | |||||||||
- | - | - | - | -1,599 | - | - | -671 | - | 1,118 |
Provision for doubtful accounts | |||||||||
37 | -218 | 5,641 | 5,631 | 5,234 | 5,774 | 6,534 | 5,251 | 4,099 | 4,515 |
Depreciation | |||||||||
7,940 | 6,659 | 6,963 | 6,895 | 5,359 | 3,626 | 5,415 | 5,668 | 6,386 | 5,357 |
Loss on disposal of medical equipment | |||||||||
638 | 434 | 207 | 641 | - | - | - | - | - | - |
Loss/(gain) on disposal of medical equipment | |||||||||
- | - | - | - | 591 | 281 | -47 | 237 | 1,731 | - |
Gain on sale of medical equipment | |||||||||
1,453 | 1,340 | 1,662 | 1,231 | 2,441 | 2,179 | 2,027 | 1,964 | 2,753 | - |
Loss on disposal of pumps | |||||||||
- | - | - | - | - | - | - | - | - | -994 |
Amortization of intangible assets | |||||||||
4,402 | 4,649 | 5,560 | 3,849 | 2,884 | 2,516 | 2,618 | 2,734 | 2,662 | 2,259 |
Asset impairment charges | |||||||||
- | - | 993 | 0 | - | - | - | - | 67,592 | - |
Amortization of deferred debt issuance costs | |||||||||
37 | 33 | 28 | 31 | 127 | 623 | 620 | 228 | 238 | 980 |
Stock-based compensation expense | |||||||||
997 | 957 | 682 | 462 | 996 | 576 | 1,120 | 964 | 1,185 | 3,860 |
Deferred income tax expense (benefit) | |||||||||
104 | -62 | 15,389 | -240 | 1,137 | 2,588 | 1,180 | -906 | -23,423 | -1,236 |
Changes in Assets - (Increase)/Decrease: | |||||||||
Accounts receivable | |||||||||
1,560 | -1,909 | 5,344 | 4,589 | 7,556 | 5,377 | 8,720 | 6,490 | 4,419 | 3,948 |
Inventories | |||||||||
645 | 490 | -402 | 250 | 158 | 524 | -105 | 30 | -33 | - |
Other current assets | |||||||||
290 | 222 | 201 | 88 | 228 | 115 | -166 | -249 | 184 | 506 |
Other assets | |||||||||
129 | 6 | -119 | -166 | 497 | -140 | 92 | -664 | -657 | 173 |
Changes in Liabilities - Increase: | |||||||||
Accounts payable and other liabilities | |||||||||
2,436 | 183 | -352 | -3,146 | -2,778 | -4,031 | -1,078 | -335 | -1,532 | 2,252 |
Derivative liabilities from termination of interest rate swap | |||||||||
- | - | - | - | - | - | - | - | - | 365 |
NET CASH PROVIDED BY OPERATING ACTIVITIES | |||||||||
13,875 | 11,391 | 7,718 | 7,909 | - | - | - | 5,452 | 6,746 | 10,812 |
INVESTING ACTIVITIES | |||||||||
Purchases of medical equipment | |||||||||
19,669 | 8,022 | - | - | - | - | - | - | - | - |
NET CASH PROVIDED BY OPERATING ACTIVITIES | |||||||||
- | - | - | - | 7,054 | 7,255 | 7,463 | - | - | - |
Acquisitions | |||||||||
- | - | - | 370 | 6,156 | - | - | - | - | - |
Purchase of medical equipment and property | |||||||||
- | - | 2,652 | 5,101 | 4,198 | 4,167 | - | 6,542 | 8,211 | 2,444 |
Purchases of property and equipment | |||||||||
2,926 | 281 | 104 | 168 | 314 | 1,995 | 4,723 | - | - | - |
Purchases of intangible assets | |||||||||
- | - | 192 | 3,526 | 5,733 | 3,543 | 1,239 | - | 625 | - |
Proceeds from sale of medical equipment and property | |||||||||
2,952 | 3,319 | 3,866 | 3,821 | 4,494 | 6,867 | 3,800 | 3,978 | 4,218 | - |
NET CASH PROVIDED BY (USED IN) INVESTING ACTIVITIES | |||||||||
- | - | - | - | -11,907 | -2,838 | -2,162 | - | - | - |
Other asset acquisitions | |||||||||
- | - | - | - | - | - | - | 6 | -509 | - |
Other asset acquisitions | |||||||||
- | - | - | - | - | - | - | - | - | 16,616 |
NET CASH USED IN INVESTING ACTIVITIES | |||||||||
-19,643 | -4,984 | 918 | -5,344 | - | - | - | -2,558 | -5,127 | -19,060 |
FINANCING ACTIVITIES | |||||||||
Principal payments on term loans, equipment line, revolving credit facility and other financing | |||||||||
4,868 | 6,319 | 37,466 | 66,999 | - | - | - | - | - | - |
Cash proceeds from 2019 equipment line and revolving credit facility | |||||||||
9,436 | 11,162 | - | - | - | - | - | - | - | - |
Cash proceeds from bank loans and revolving credit facility | |||||||||
- | - | 28,866 | 66,892 | - | - | - | - | - | - |
Principal payments on revolving credit facility, term loans and capital lease obligations | |||||||||
- | - | - | - | 65,202 | 66,689 | 4,504 | 9,631 | 5,953 | 822 |
Payoff of bank loan and revolver | |||||||||
- | - | - | - | - | - | - | 25,851 | - | - |
Principal payments on debt | |||||||||
- | - | - | - | - | - | - | - | - | 22,623 |
Cash proceeds from revolving credit facility | |||||||||
- | - | - | - | 70,429 | 61,853 | 36,166 | 37,101 | 2,334 | 30,000 |
Debt issuance costs | |||||||||
6 | 27 | 38 | 7 | 157 | - | - | 2,842 | - | 808 |
Payments on revolving credit facility | |||||||||
- | - | - | - | - | - | 38,072 | - | 1,750 | - |
Common stock repurchased to satisfy taxes on stock based compensation | |||||||||
- | - | - | - | - | - | - | - | 102 | 167 |
Common stock repurchased as part of Repurchase Program | |||||||||
- | 10,395 | - | - | 179 | 204 | 79 | 144 | 363 | 68 |
Common stock repurchased to satisfy statutory withholding on employee stock-based compensation plans | |||||||||
717 | 70 | 58 | 75 | - | - | - | - | - | - |
Cash proceeds - stock plans | |||||||||
252 | 91 | 131 | 204 | 265 | - | - | - | - | - |
NET CASH (USED IN) PROVIDED BY FINANCING ACTIVITIES | |||||||||
- | - | - | - | 5,156 | -5,040 | -6,489 | - | - | - |
NET CASH PROVIDED BY (USED IN) FINANCING ACTIVITIES | |||||||||
4,097 | -5,558 | -8,565 | 15 | - | - | - | -1,367 | -5,834 | 5,512 |
Net change in cash and cash equivalents | |||||||||
-1,671 | 849 | 71 | 2,580 | 303 | -623 | -1,188 | 1,527 | -4,215 | -2,736 |
SUPPLEMENTAL DISCLOSURES | |||||||||
Cash paid for interest | |||||||||
1,705 | 1,383 | 1,200 | 1,234 | - | - | - | - | - | - |
Cash paid for interest | |||||||||
- | - | - | - | 1,508 | 2,351 | 2,668 | 3,112 | 1,934 | 2,372 |
Cash paid for income taxes | |||||||||
111 | 159 | 139 | 105 | 146 | 298 | 549 | 79 | 249 | 21 |
NON-CASH TRANSACTIONS | |||||||||
Additions to medical equipment and property | |||||||||
2,773 | 998 | 549 | 429 | 1,415 | 920 | 266 | 121 | 1,008 | 903 |
Medical equipment acquired pursuant to a capital lease | |||||||||
- | - | 137 | 2,675 | 4,233 | 3,596 | 2,541 | 522 | 2,300 | 1,869 |
Tender offer to exchange warrants | |||||||||
- | - | - | - | - | - | - | - | - | 2,016 |
Origination of long term debt | |||||||||
- | - | - | - | - | - | - | - | - | 750 |
Current assets assumed in acquisition | |||||||||
- | - | - | - | - | - | - | - | - | 2,352 |
Current liabilities assumed in acquisition | |||||||||
- | - | - | - | - | - | - | - | - | 438 |
Deferred tax liability assumed in acquisition | |||||||||
- | - | - | - | - | - | - | - | - | 2,754 |
Deferred tax asset assumed in acquisition | |||||||||
- | - | - | - | - | - | - | - | - | 30 |
Treasury stock transactions (number of shares) | |||||||||
- | - | - | - | - | - | - | - | - | 0 |
Gross issuance of vested restricted shares (number of shares) | |||||||||
- | - | - | - | - | - | - | - | - | 1 |