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Spheris Reports Third Quarter 2008 Results
Date:11/12/2008

- 1,828

Other non-cash items 471 305

Changes in operating assets and liabilities, net

of acquisitions:

Accounts receivable 3,081 (345)

Prepaid expenses and other current assets (991) (1,031)

Accounts payable (1,326) (872)

Accrued wages and benefits (5,590) (993)

Other current liabilities 3,090 4,369

Other noncurrent assets and liabilities (2,385) (4)

Net cash provided by operating activities 993 9,781

Cash flows from investing activities:

Purchases of property and equipment (4,241) (3,086)

Purchase and development of internal-use

software (748) (558)

Purchase of Vianeta, net of cash acquired - (1,547)

Net cash used in investing activities (4,989) (5,191)

Cash flows from financing activities:

Proceeds from debt 7,288 71,320

Payments on debt and lease obligations (202) (76,051)

Debt issuance costs - (583)

Net cash provided by (used in) financing

activities 7,086 (5,314)

Effect of exchange rate change on cash and cash

equivalents (383) 836

Net increase in unrestricted cash and cash

equivalents 2,707 112

Unrestricted cash and cash equivalents, at

beginning of period 7,195 6,323

Unrestricted cash and cash
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SOURCE Spheris
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