Consolidating Financial Statements - Cash Flows (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended |
Jun. 30, 2016 | Jun. 30, 2015 | Jun. 30, 2016 | Jun. 30, 2015 |
Cash flows from operating activities: | | | | |
Consolidated net (loss) income | $ (609) | $ (1,779) | $ (5,249) | $ (8,745) |
Adjustments to reconcile net loss to net cash provided by operating activities: | | | | |
Depreciation | | | 36,614 | 38,315 |
Asset impairment charges | | | | 1,703 |
Amortization of intangibles, deferred financing costs and bond premium | | | 6,011 | 6,532 |
Provision for doubtful accounts | | | 130 | 54 |
Provision for inventory obsolescence | | | 86 | 225 |
Non-cash share-based compensation expense | | | 1,514 | 1,140 |
Gain on sales and disposals of equipment | | | (1,863) | (2,522) |
Deferred income taxes | | | 120 | 108 |
Interest on note receivable | | | (3) | |
Changes in operating assets and liabilities: | | | | |
Accounts receivable | | | (5,301) | (3,980) |
Inventories | | | (80) | (393) |
Other operating assets | | | (1,100) | 669 |
Accounts payable | | | (1,338) | 2,000 |
Other operating liabilities | | | (6,537) | 5,119 |
Net cash provided by operating activities | | | 23,004 | 40,225 |
Cash flows from investing activities: | | | | |
Medical equipment purchases | | | (27,412) | (27,437) |
Property and office equipment purchases | | | (2,083) | (2,433) |
Proceeds from disposition of property and equipment | | | 6,944 | 9,426 |
Issuance of note receivable from officer | | | (983) | |
Acquisition | | | | (2,600) |
Net cash used in investing activities | | | (23,534) | (23,044) |
Cash flows from financing activities: | | | | |
Proceeds under senior secured credit facility | | | 75,700 | 63,900 |
Payments under senior secured credit facility | | | (74,500) | (75,900) |
Payments of principal under capital lease obligations | | | (2,944) | (4,154) |
Payment of deferred financing costs | | | (97) | |
Holdback payment related to acquisition | | | (500) | |
Distributions to noncontrolling interests | | | (196) | (240) |
Contributions from new members to limited liability companies | | | | 70 |
Dividend and equity distribution payments | | | (24) | (39) |
Proceeds from exercise of parent company stock options | | | 66 | |
Change in book overdrafts | | | 3,025 | (818) |
Net cash provided by (used in) financing activities | | | 530 | (17,181) |
Consolidating Adjustments | | | | |
Cash flows from operating activities: | | | | |
Consolidated net (loss) income | (901) | (573) | (1,268) | (759) |
Adjustments to reconcile net loss to net cash provided by operating activities: | | | | |
Equity in earnings of subsidiary | 901 | 573 | 1,268 | 759 |
Changes in operating assets and liabilities: | | | | |
Due from affiliates | | | 1,380 | 1,196 |
Net cash provided by operating activities | | | 1,380 | 1,196 |
Cash flows from financing activities: | | | | |
Due to affiliates | | | (1,380) | (1,196) |
Net cash provided by (used in) financing activities | | | (1,380) | (1,196) |
Parent Issuer UHS | | | | |
Cash flows from operating activities: | | | | |
Consolidated net (loss) income | (609) | (1,779) | (5,249) | (8,745) |
Adjustments to reconcile net loss to net cash provided by operating activities: | | | | |
Depreciation | | | 33,059 | 34,717 |
Asset impairment charges | | | | 1,703 |
Amortization of intangibles, deferred financing costs and bond premium | | | 4,304 | 4,890 |
Equity in earnings of subsidiary | (901) | (573) | (1,268) | (759) |
Provision for doubtful accounts | | | 72 | 28 |
Provision for inventory obsolescence | | | 126 | 210 |
Non-cash share-based compensation expense | | | 1,514 | 1,140 |
Gain on sales and disposals of equipment | | | (1,903) | (2,436) |
Deferred income taxes | | | 799 | 1,098 |
Interest on note receivable | | | (3) | |
Changes in operating assets and liabilities: | | | | |
Accounts receivable | | | (5,110) | (3,213) |
Due from affiliates | | | (1,380) | (1,196) |
Inventories | | | (859) | (410) |
Other operating assets | | | (722) | 610 |
Accounts payable | | | (522) | 1,148 |
Other operating liabilities | | | (6,254) | 5,788 |
Net cash provided by operating activities | | | 16,604 | 34,573 |
Cash flows from investing activities: | | | | |
Medical equipment purchases | | | (22,647) | (25,308) |
Property and office equipment purchases | | | (2,070) | (2,417) |
Proceeds from disposition of property and equipment | | | 6,940 | 9,290 |
Issuance of note receivable from officer | | | (983) | |
Net cash used in investing activities | | | (18,760) | (18,435) |
Cash flows from financing activities: | | | | |
Proceeds under senior secured credit facility | | | 75,700 | 63,900 |
Payments under senior secured credit facility | | | (74,500) | (75,900) |
Payments of principal under capital lease obligations | | | (2,341) | (3,635) |
Payment of deferred financing costs | | | (97) | |
Dividend and equity distribution payments | | | (24) | (39) |
Proceeds from exercise of parent company stock options | | | 66 | |
Change in book overdrafts | | | 3,352 | (464) |
Net cash provided by (used in) financing activities | | | 2,156 | (16,138) |
Subsidiary Guarantor Surgical Services | | | | |
Cash flows from operating activities: | | | | |
Consolidated net (loss) income | $ 901 | $ 573 | 1,268 | 759 |
Adjustments to reconcile net loss to net cash provided by operating activities: | | | | |
Depreciation | | | 3,555 | 3,598 |
Amortization of intangibles, deferred financing costs and bond premium | | | 1,707 | 1,642 |
Provision for doubtful accounts | | | 58 | 26 |
Provision for inventory obsolescence | | | (40) | 15 |
Gain on sales and disposals of equipment | | | 40 | (86) |
Deferred income taxes | | | (679) | (990) |
Changes in operating assets and liabilities: | | | | |
Accounts receivable | | | (191) | (767) |
Inventories | | | 779 | 17 |
Other operating assets | | | (378) | 59 |
Accounts payable | | | (816) | 852 |
Other operating liabilities | | | (283) | (669) |
Net cash provided by operating activities | | | 5,020 | 4,456 |
Cash flows from investing activities: | | | | |
Medical equipment purchases | | | (4,765) | (2,129) |
Property and office equipment purchases | | | (13) | (16) |
Proceeds from disposition of property and equipment | | | 4 | 136 |
Acquisition | | | | (2,600) |
Net cash used in investing activities | | | (4,774) | (4,609) |
Cash flows from financing activities: | | | | |
Payments of principal under capital lease obligations | | | (603) | (519) |
Holdback payment related to acquisition | | | (500) | |
Distributions to noncontrolling interests | | | (196) | (240) |
Contributions from new members to limited liability companies | | | | 70 |
Due to affiliates | | | 1,380 | 1,196 |
Change in book overdrafts | | | (327) | (354) |
Net cash provided by (used in) financing activities | | | $ (246) | $ 153 |