R1 rcm inc. (RCM)
CashFlow / Quarterly
Mar'20Dec'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 (loss)

18,200

7,800

9,200

-5,200

200

-5,700

-13,400

-2,900

-23,300

-40,200

-3,600

-6,700

-8,300

13,100

37,400

-40,800

167,400

5,403

-32,970

-26,288

-30,445

-17,651

9,553

-16,799

-54,723

6,386

-37,571

187,733

-26,465

-123,410

2,755

-578

1,493

13,181

7,270

8,553

160

Adjustments to reconcile net income (loss) to net cash provided by (used in) operations:
Depreciation and amortization

15,700

15,800

14,100

12,900

12,900

11,200

14,200

8,500

4,900

4,800

4,500

3,800

3,200

2,900

2,700

2,300

2,300

1,944

2,738

2,101

1,717

1,768

1,403

1,471

1,405

1,592

1,709

1,771

1,751

-2,042

3,319

2,622

2,456

2,036

2,162

2,117

1,997

Amortization of debt issuance costs

200

200

200

600

600

600

500

400

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Share-based compensation

4,800

5,800

3,800

4,600

4,400

4,600

4,800

5,100

3,900

2,500

2,300

2,200

3,700

4,600

4,800

13,600

6,800

6,226

10,398

7,601

4,975

4,189

4,911

7,733

10,348

5,989

5,575

6,929

6,532

5,562

5,714

5,943

8,079

6,515

7,343

5,362

5,976

Loss on disposal

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-1,370

-11

0

-223

0

0

0

0

-

-

-

-

-

-

-

-

Provision for credit losses

800

-

-

-

1,000

-

-

-

0

-

-

-

-

-

-

-

-

79

-34

-54

9

25

39

21

-515

529

92

3

10

-

-

-

-

-

-

-

-

Deferred income taxes

8,900

4,300

7,900

-13,200

-4,100

-1,300

-2,200

-22,800

12,300

35,300

-1,500

-3,600

-500

15,300

24,100

-30,400

112,800

5,867

-22,198

-16,565

-19,804

-15,358

5,357

-10,426

-28,800

8,832

-23,356

109,825

-15,945

-74,342

-1,731

1,390

-2,204

-8,751

0

0

0

Non-cash lease expense

2,900

2,900

2,900

2,900

2,700

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Excess tax benefit from share-based awards

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

0

0

0

176

-21

0

-5

41

1,103

175

-61

3,186

7,227

-28

11,908

4,994

Changes in operating assets and liabilities:
Accounts receivable and related party accounts receivable

12,500

-1,700

15,600

7,600

-33,000

28,300

-10,800

6,300

15,300

-2,400

2,200

-11,000

24,200

-3,200

2,400

-2,300

-1,300

5,079

1,722

-1,203

102

-4,009

-4,893

-803

-10,843

1,975

-3,131

-2,759

3,257

-33,661

11,822

13,708

17,057

-12,617

14,725

-1,690

39,803

Prepaid income taxes

-

-

-

-

-

-

-

-

-

-

-

200

-3,700

-

300

0

-500

-4,468

-187

-233

-212

-1,148

-2,700

158

-104

4,573

-325

267

321

-2,606

-5,008

3,115

-2,481

-16,176

-9,862

-3,479

-26

Prepaid expenses and other assets

5,200

-2,200

10,000

6,800

3,300

-1,000

9,900

6,800

1,300

-1,100

-5,500

-6,300

15,500

1,800

4,500

-900

4,300

7,166

-4,138

4,877

-405

-2,281

-626

955

1,999

-15,120

-1,236

1,615

307

-5,720

-3,353

6,189

4,455

10,021

-1,384

1,483

1,135

Accounts payable

2,800

-600

3,300

4,200

3,000

3,000

-7,400

2,800

-1,400

-600

2,600

1,700

-4,000

2,600

100

1,700

-3,200

-1,092

1,432

-1,217

-6,323

7,566

-1,302

753

1,234

1,178

2,556

-1,618

1,262

-28,537

7,803

12,238

8,138

-11,620

-3,385

3,134

-2,947

Accrued service costs

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

7,519

-2,607

19,020

-15,515

21,683

971

3,101

Accrued compensation and benefits

-46,600

25,500

5,600

-22,000

9,100

16,700

7,300

8,100

-200

8,600

4,700

-3,600

3,200

7,400

1,100

-400

7,600

-6,211

3,141

-3,721

891

1,214

2,855

-7,770

6,875

-6,441

5,681

-1,971

6,544

5,095

135

-625

-12,186

5,780

-3,261

8,239

-8,313

Lease liabilities

-2,600

-2,900

-3,400

-2,800

-2,700

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Other liabilities

16,000

3,800

-7,300

-4,100

12,400

-6,500

4,900

8,000

3,400

1,800

100

-3,900

3,500

-1,900

-2,100

2,000

3,100

3,948

-1,610

4,317

-6,355

916

2,952

-8,286

1,106

-9,594

-209

6,067

781

862

-81

1,263

122

-

87

-150

177

Customer liabilities and customer liabilities - related party

-2,800

3,400

-12,700

-9,400

1,900

29,100

5,100

-6,200

7,100

9,300

9,700

-2,300

7,300

-64,300

-77,800

-4,800

-293,200

-37,158

62,154

32,325

40,579

-36,863

7,437

-19,337

33,740

-7,630

58,135

-288,029

35,549

-

-

-

-

-

-

-

-

Other accrued expenses

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-2,419

6,189

1,943

-1,639

2,870

-1,122

929

Accrued income taxes

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

6

-15

47

153

0

0

0

Deferred revenue

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-3,771

-11,188

9,789

12,042

-185

-2,038

-484

Net cash provided by operating activities

600

70,600

-700

-27,100

71,100

24,300

15,100

-11,200

-9,900

25,200

18,600

5,000

-27,900

-17,600

-16,800

-53,600

1,100

-30,271

25,654

-4,942

-14,241

-45,386

41,435

-52,950

-20,335

9,434

17,304

21,592

6,093

7,392

15,613

-8,319

14,480

13,739

31,133

16,844

-45,310

Investing activities
Purchases of property, equipment, and software

13,300

17,900

10,800

17,500

14,800

13,400

4,800

11,900

3,400

3,500

6,900

14,000

9,200

2,200

3,300

5,000

2,100

2,996

9,956

4,946

3,402

2,828

1,556

473

1,177

754

345

585

193

-625

5,520

2,746

2,903

2,501

988

2,925

1,335

Acquisition of software

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

3,237

2,863

1,664

1,840

1,248

1,860

661

Collection of note receivable

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-42

-72

-204

-56

-687

-32

-931

Net cash used in investing activities

-13,300

-17,900

-10,800

-17,500

-14,800

-13,400

-2,300

-477,200

-3,400

-3,500

-6,900

-14,000

-9,200

-2,200

-3,300

-4,000

-2,100

-3,996

-9,956

-4,946

-3,402

-2,828

-1,556

-473

-1,177

-754

-345

-585

-193

8,071

-8,715

-5,537

-4,363

-4,285

-1,549

-4,753

-1,065

Financing activities
Repayment of senior secured debt

-

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Series A convertible preferred stock and warrant issuance, net of issuance costs

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

178,700

-

-

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Issuance of senior secured debt, net and borrowings on revolver

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

5,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Repayment of senior secured debt and revolver

4,100

4,100

4,000

268,000

700

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Issuance of common stock and stock warrants, net of issuance costs

-

-

-

-

-

0

-100

0

19,300

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from issuance of common stock from employee stock option exercise

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

1,650

381

4,463

3,109

2,883

7,379

4,777

Collection of non-executive employee notes receivable

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

0

0

0

-41

Excess tax benefit from share-based awards

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

0

0

0

176

-21

0

-5

41

1,103

175

-61

3,186

7,227

-28

11,908

4,994

Exercise of vested stock options

3,100

4,200

1,800

7,300

400

700

800

2,600

200

200

0

0

0

100

0

0

100

169

1,331

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Restricted cash released from letter of credit

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

Purchase of treasury stock

-

-

-

-

-

-

-

-

-

500

800

600

600

-1,600

2,000

0

0

-1,382

865

43

474

90

63

140

77

75

86

0

0

-

-

-

-

-

-

-

-

Shares withheld for taxes

0

6,300

0

1,400

3,300

100

0

1,000

1,900

-500

500

400

1,500

2,000

-2,000

1,600

400

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Finance lease payments

600

200

200

200

200

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net cash provided by (used in) financing activities

28,400

-16,400

-12,400

7,300

-3,800

-700

-100

360,600

17,600

200

-1,300

-1,000

-2,100

-300

0

-1,600

178,400

-49

466

-43

4,526

-90

-63

-140

99

-55

-86

0

41

-34,835

-11,495

320

7,649

5,336

2,476

19,287

9,812

Effect of exchange rate changes in cash, cash equivalents and restricted cash

-1,200

100

-600

100

200

200

-300

-400

-200

200

0

-300

700

-600

300

-100

100

67

-345

-175

-47

-278

-187

10

195

95

-429

-258

81

-47

94

-60

-17

-159

-263

-55

-36

Net increase in cash, cash equivalents and restricted cash

14,500

36,400

-24,500

-37,200

52,700

10,400

12,400

-128,200

4,100

22,100

10,400

-10,300

-38,500

-20,700

-19,800

-59,300

177,500

-34,249

15,819

-10,106

-13,164

-48,582

39,629

-53,553

-21,218

8,720

16,444

20,749

6,022

-19,419

-4,503

-13,596

17,749

14,631

31,797

31,323

-36,599

Supplemental disclosures of cash flow information
Accrued and other liabilities related to purchases of property, equipment and software

18,400

500

-1,400

900

20,600

-2,100

11,400

6,200

4,100

-1,500

1,600

700

300

2,000

-500

200

800

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Accounts payable related to purchases of property, equipment and software

3,100

-4,000

3,100

700

1,400

300

-600

600

600

800

-1,100

1,300

400

2,000

0

-300

300

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Interest paid

3,200

3,900

4,900

12,600

5,100

15,900

7,500

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Income taxes paid

900

500

900

2,100

500

800

1,200

900

400

500

500

300

300

500

300

-700

1,100

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Income taxes refunded

0

100

0

0

100

100

0

0

400

100

0

0

3,400

100

0

-100

700

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Senior Revolver
Issuance of senior secured debt, net and borrowings on revolver

50,000

0

0

60,000

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Repayment of senior secured debt and revolver

20,000

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-