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FY2025
12 months to Dec 31, 2025
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FY2024
12 months to Dec 31, 2024
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FY2023
12 months to Dec 31, 2023
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FY2022
12 months to Dec 31, 2022
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FY2021
12 months to Dec 31, 2021
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|---|---|---|---|---|---|
| Cash flows from operating activities: | |||||
| Net income | |||||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||
| Depreciation and amortization | |||||
| Non-cash lease expense | |||||
| Non-cash interest expense, net | |||||
| Equity-based compensation expense | |||||
| Net loss on disposals, consolidations and deconsolidations | |||||
| Loss on debt extinguishment | |||||
| Deferred income taxes | |||||
| Equity in earnings of unconsolidated affiliates, net of distributions received | |||||
| Other non-cash income | |||||
| Changes in operating assets and liabilities, net of acquisitions and divestitures: | |||||
| Accounts receivable | |||||
| Medicare accelerated payments and deferred governmental grants | |||||
| DOJ settlement payments | |||||
| Other operating assets and liabilities | |||||
| Net cash provided by operating activities | |||||
| Cash flows from investing activities: | |||||
| Purchases of property and equipment | |||||
| Payments for acquisitions, net of cash acquired | |||||
| Proceeds from disposals of facilities and other assets | |||||
| Purchases of equity investments | |||||
| Proceeds from sales of equity investments | |||||
| Other investing activities | |||||
| Net cash used in investing activities | |||||
| Cash flows from financing activities: | |||||
| Principal payments on long-term debt | |||||
| Borrowings of long-term debt | |||||
| Payments of debt issuance costs | |||||
| Payment of premium on debt extinguishment | |||||
| Proceeds from equity offerings | |||||
| Payments of equity offering costs | |||||
| Distributions to non-controlling interest holders | |||||
| Proceeds (payments) related to ownership transactions with non-controlling interest holders | |||||
| Payments of preferred dividends | |||||
| Other financing activities | |||||
| Net cash (used in) provided by financing activities | |||||
| Net (decrease) increase in cash and cash equivalents | |||||
| Cash and cash equivalents at beginning of period | |||||
| Cash and cash equivalents at end of period | |||||
| Supplemental cash flow information: | |||||
| Interest paid, net of interest income received | |||||
| Cash paid for income taxes | |||||
| Non-cash purchases of property and equipment | |||||
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