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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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|---|---|---|---|---|---|
| Net income | |||||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||
| Depreciation and amortization | |||||
| Deferred income tax expense (benefit) | |||||
| Stock-based compensation expense | |||||
| Impairment and restructuring charges, and acquisition-related costs | |||||
| Litigation and investigation costs | |||||
| Net losses (gains) on sales, consolidation and deconsolidation of facilities | |||||
| Loss from early extinguishment of debt | |||||
| Equity in earnings of unconsolidated affiliates, net of distributions received | |||||
| Amortization of debt discount and debt issuance costs | |||||
| Pre-tax loss (income) from discontinued operations | |||||
| Net gains from the sale of investments and long-lived assets | |||||
| Other items, net | |||||
| Changes in cash from operating assets and liabilities: | |||||
| Accounts receivable | |||||
| Inventories and other current assets | |||||
| Income taxes | |||||
| Accounts payable, accrued expenses and other current liabilities | |||||
| Other long-term liabilities | |||||
| Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements | |||||
| Net cash used in operating activities from discontinued operations, excluding income taxes | |||||
| Net cash provided by operating activities | |||||
| Cash flows from investing activities: | |||||
| Purchases of property and equipment | |||||
| Purchases of businesses or joint venture interests, net of cash acquired | |||||
| Proceeds from sales of facilities and other assets | |||||
| Proceeds from sales of marketable securities and long-term investments | |||||
| Purchases of marketable securities and long-term investments | |||||
| Other items, net | |||||
| Net cash provided by (used in) investing activities | |||||
| Cash flows from financing activities: | |||||
| Repayments of borrowings | |||||
| Proceeds from borrowings | |||||
| Repurchases of common stock | |||||
| Debt issuance costs | |||||
| Distributions paid to noncontrolling interests | |||||
| Proceeds from the sale of noncontrolling interests | |||||
| Purchases of noncontrolling interests | |||||
| Medicare advances and grants received by unconsolidated affiliates, net of recoupment | |||||
| Advances from managed care payers | |||||
| Repayments of advances from managed care payers | |||||
| Taxes paid related to net share settlement, net of proceeds from shares issued under stock-based compensation plans | |||||
| Other items, net | |||||
| Net cash used in financing activities | |||||
| Net increase (decrease) in cash and cash equivalents | |||||
| Cash and cash equivalents at beginning of period | |||||
| Cash and cash equivalents at end of period | |||||
| Supplemental disclosures: | |||||
| Interest paid, net of capitalized interest | |||||
| Income tax payments, net | |||||
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