| Supplemental data (unaudited) |
DAVITA HEALTHCARE PARTNERS INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(continued)
(dollars in thousands, except per share data)
29. Supplemental data (unaudited)
The following information is presented as supplemental data as required by the indentures governing our senior notes.
Condensed Consolidating Statements of Income
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
For the year ended December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patient services revenues |
|
$ |
8,868,338 |
|
|
$ |
121,929 |
|
|
$ |
— |
|
|
$ |
8,746,409 |
|
|
Less: Provision for uncollectible accounts |
|
|
(366,884 |
) |
|
|
(8,534 |
) |
|
|
— |
|
|
|
(358,350 |
) |
|
Net patient service revenues |
|
|
8,501,454 |
|
|
|
113,395 |
|
|
|
— |
|
|
|
8,388,059 |
|
|
Capitated revenues |
|
|
3,261,288 |
|
|
|
1,511,000 |
|
|
|
— |
|
|
|
1,750,288 |
|
|
Other revenues |
|
|
1,032,364 |
|
|
|
6,630 |
|
|
|
— |
|
|
|
1,025,734 |
|
|
Total net revenues |
|
|
12,795,106 |
|
|
|
1,631,025 |
|
|
|
— |
|
|
|
11,164,081 |
|
|
Operating expenses and charges |
|
|
10,979,965 |
|
|
|
1,601,027 |
|
|
|
514 |
|
|
|
9,378,424 |
|
|
Operating income |
|
|
1,815,141 |
|
|
|
29,998 |
|
|
|
(514 |
) |
|
|
1,785,657 |
|
|
Debt (expense) and refinancing charges |
|
|
(507,842 |
) |
|
|
(11,113 |
) |
|
|
— |
|
|
|
(496,729 |
) |
|
Other income, net |
|
|
2,374 |
|
|
|
238 |
|
|
|
— |
|
|
|
2,136 |
|
|
Income tax expense |
|
|
446,343 |
|
|
|
1,866 |
|
|
|
(206 |
) |
|
|
444,683 |
|
|
Net income |
|
|
863,330 |
|
|
|
17,257 |
|
|
|
(308 |
) |
|
|
846,381 |
|
|
Less: Net income attributable to noncontrolling interests |
|
|
(140,216 |
) |
|
|
— |
|
|
|
— |
|
|
|
(140,216 |
) |
|
Net income attributable to DaVita HealthCare Partners Inc. |
|
$ |
723,114 |
|
|
$ |
17,257 |
|
|
$ |
(308 |
) |
|
$ |
706,165 |
|
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
For the year ended December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patient services revenues |
|
$ |
8,307,195 |
|
|
$ |
122,873 |
|
|
$ |
— |
|
|
$ |
8,184,322 |
|
|
Less: Provision for uncollectible accounts |
|
|
(293,546 |
) |
|
|
(6,602 |
) |
|
|
— |
|
|
|
(286,944 |
) |
|
Net patient service revenues |
|
|
8,013,649 |
|
|
|
116,271 |
|
|
|
— |
|
|
|
7,897,378 |
|
|
Capitated revenues |
|
|
2,987,315 |
|
|
|
1,560,244 |
|
|
|
— |
|
|
|
1,427,071 |
|
|
Other revenues |
|
|
763,086 |
|
|
|
5,239 |
|
|
|
— |
|
|
|
757,847 |
|
|
Total net revenues |
|
|
11,764,050 |
|
|
|
1,681,754 |
|
|
|
— |
|
|
|
10,082,296 |
|
|
Operating expenses and charges |
|
|
10,213,916 |
|
|
|
1,659,151 |
|
|
|
457 |
|
|
|
8,554,308 |
|
|
Operating income |
|
|
1,550,134 |
|
|
|
22,603 |
|
|
|
(457 |
) |
|
|
1,527,988 |
|
|
Debt (expense) |
|
|
(429,943 |
) |
|
|
(14,605 |
) |
|
|
— |
|
|
|
(415,338 |
) |
|
Other income, net |
|
|
4,787 |
|
|
|
6 |
|
|
|
— |
|
|
|
4,781 |
|
|
Income tax expense |
|
|
381,013 |
|
|
|
3,523 |
|
|
|
(183 |
) |
|
|
377,673 |
|
|
Income from continuing operations |
|
|
743,965 |
|
|
|
4,481 |
|
|
|
(274 |
) |
|
|
739,758 |
|
|
Discontinued operations net of gain on disposal of discontinued
operations |
|
|
13,236 |
|
|
|
— |
|
|
|
— |
|
|
|
13,236 |
|
|
Net income |
|
|
757,201 |
|
|
|
4,481 |
|
|
|
(274 |
) |
|
|
752,994 |
|
|
Less: Net income attributable to noncontrolling interests |
|
|
(123,755 |
) |
|
|
— |
|
|
|
— |
|
|
|
(123,755 |
) |
|
Net income attributable to DaVita HealthCare Partners Inc. |
|
$ |
633,446 |
|
|
$ |
4,481 |
|
|
$ |
(274 |
) |
|
$ |
629,239 |
|
|
For the year ended December 31, 2012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Patient services revenues |
|
$ |
7,351,902 |
|
|
$ |
20,052 |
|
|
$ |
— |
|
|
$ |
7,331,850 |
|
|
Less: Provision for uncollectible accounts |
|
|
(235,218 |
) |
|
|
(686 |
) |
|
|
— |
|
|
|
(234,532 |
) |
|
Net patient service revenues |
|
|
7,116,684 |
|
|
|
19,366 |
|
|
|
— |
|
|
|
7,097,318 |
|
|
Capitated revenues |
|
|
481,336 |
|
|
|
248,592 |
|
|
|
— |
|
|
|
232,744 |
|
|
Other revenues |
|
|
588,260 |
|
|
|
487 |
|
|
|
— |
|
|
|
587,773 |
|
|
Total net revenues |
|
|
8,186,280 |
|
|
|
268,445 |
|
|
|
— |
|
|
|
7,917,835 |
|
|
Operating expenses and charges |
|
|
6,889,196 |
|
|
|
268,205 |
|
|
|
(1,372 |
) |
|
|
6,622,363 |
|
|
Operating income |
|
|
1,297,084 |
|
|
|
240 |
|
|
|
1,372 |
|
|
|
1,295,472 |
|
|
Debt (expense) and refinancing charges |
|
|
(299,517 |
) |
|
|
(1,386 |
) |
|
|
— |
|
|
|
(298,131 |
) |
|
Other income, net |
|
|
3,737 |
|
|
|
54 |
|
|
|
— |
|
|
|
3,683 |
|
|
Income tax expense |
|
|
359,845 |
|
|
|
— |
|
|
|
549 |
|
|
|
359,296 |
|
|
Income from continuing operations |
|
|
641,459 |
|
|
|
(1,092 |
) |
|
|
823 |
|
|
|
641,728 |
|
|
Discontinued operations |
|
|
(222 |
) |
|
|
— |
|
|
|
— |
|
|
|
(222 |
) |
|
Net income |
|
|
641,237 |
|
|
|
(1,092 |
) |
|
|
823 |
|
|
|
641,506 |
|
|
Less: Net income attributable to noncontrolling interests |
|
|
(105,220 |
) |
|
|
— |
|
|
|
— |
|
|
|
(105,220 |
) |
|
Net income attributable to DaVita HealthCare Partners Inc. |
|
$ |
536,017 |
|
|
$ |
(1,092 |
) |
|
$ |
823 |
|
|
$ |
536,286 |
|
|
(1) |
After the elimination of the unrestricted subsidiaries and the physician groups |
Condensed Consolidating Statements of Comprehensive Income
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
For the year ended December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (losses) |
|
$ |
863,330 |
|
|
$ |
17,257 |
|
|
$ |
(308 |
) |
|
$ |
846,381 |
|
|
Other comprehensive losses |
|
|
(22,372 |
) |
|
|
— |
|
|
|
— |
|
|
|
(22,372 |
) |
|
Total comprehensive income (losses) |
|
|
840,958 |
|
|
|
17,257 |
|
|
|
(308 |
) |
|
|
824,009 |
|
|
Less: Comprehensive income attributable to noncontrolling
interest |
|
|
(140,216 |
) |
|
|
— |
|
|
|
— |
|
|
|
(140,216 |
) |
|
Comprehensive income (losses) attributable to DaVita
HealthCare Partners Inc. |
|
$ |
700,742 |
|
|
$ |
17,257 |
|
|
$ |
(308 |
) |
|
$ |
683,793 |
|
|
For the year ended December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (losses) |
|
$ |
757,201 |
|
|
$ |
4,481 |
|
|
$ |
(274 |
) |
|
$ |
752,994 |
|
|
Other comprehensive income |
|
|
12,652 |
|
|
|
— |
|
|
|
— |
|
|
|
12,652 |
|
|
Total comprehensive income (losses) |
|
|
769,853 |
|
|
|
4,481 |
|
|
|
(274 |
) |
|
|
765,646 |
|
|
Less: Comprehensive income attributable to noncontrolling
interest |
|
|
(123,755 |
) |
|
|
— |
|
|
|
— |
|
|
|
(123,755 |
) |
|
Comprehensive income (losses) attributable to DaVita
HealthCare Partners Inc. |
|
$ |
646,098 |
|
|
$ |
4,481 |
|
|
$ |
(274 |
) |
|
$ |
641,891 |
|
|
For the year ended December 31, 2012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (losses) |
|
$ |
641,237 |
|
|
$ |
(1,092 |
) |
|
$ |
823 |
|
|
$ |
641,506 |
|
|
Other comprehensive income |
|
|
4,187 |
|
|
|
— |
|
|
|
— |
|
|
|
4,187 |
|
|
Total comprehensive income (losses) |
|
|
645,424 |
|
|
|
(1,092 |
) |
|
|
823 |
|
|
|
645,693 |
|
|
Less: Comprehensive income attributable to noncontrolling
interest |
|
|
(105,220 |
) |
|
|
— |
|
|
|
— |
|
|
|
(105,220 |
) |
|
Comprehensive income (losses) attributable to DaVita
HealthCare Partners Inc. |
|
$ |
540,204 |
|
|
$ |
(1,092 |
) |
|
$ |
823 |
|
|
$ |
540,473 |
|
|
(1) |
After the elimination of the unrestricted subsidiaries and the physician groups |
Condensed Consolidating Balance Sheets
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
As of December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
965,241 |
|
|
$ |
112,448 |
|
|
$ |
— |
|
|
$ |
852,793 |
|
|
Accounts receivable, net |
|
|
1,525,849 |
|
|
|
255,953 |
|
|
|
— |
|
|
|
1,269,896 |
|
|
Other current assets |
|
|
1,385,707 |
|
|
|
18,450 |
|
|
|
— |
|
|
|
1,367,257 |
|
|
Total current assets |
|
|
3,876,797 |
|
|
|
386,851 |
|
|
|
— |
|
|
|
3,489,946 |
|
|
Property and equipment, net |
|
|
2,469,099 |
|
|
|
2,406 |
|
|
|
— |
|
|
|
2,466,693 |
|
|
Amortizable intangibles, net |
|
|
1,949,498 |
|
|
|
6,239 |
|
|
|
— |
|
|
|
1,943,259 |
|
|
Other long-term assets |
|
|
232,026 |
|
|
|
66,087 |
|
|
|
2,811 |
|
|
|
163,128 |
|
|
Goodwill |
|
|
9,415,295 |
|
|
|
9,181 |
|
|
|
— |
|
|
|
9,406,114 |
|
|
Total assets |
|
$ |
17,942,715 |
|
|
$ |
470,764 |
|
|
$ |
2,811 |
|
|
$ |
17,469,140 |
|
|
Current liabilities |
|
$ |
2,088,652 |
|
|
$ |
213,609 |
|
|
$ |
— |
|
|
$ |
1,875,043 |
|
|
Payables to parent |
|
|
— |
|
|
|
178,371 |
|
|
|
2,811 |
|
|
|
(181,182 |
) |
|
Long-term debt and other long-term liabilities |
|
|
9,663,787 |
|
|
|
61,895 |
|
|
|
— |
|
|
|
9,601,892 |
|
|
Noncontrolling interests subject to put provisions |
|
|
829,965 |
|
|
|
— |
|
|
|
— |
|
|
|
829,965 |
|
|
Total DaVita HealthCare Partners Inc. shareholders'’ equity |
|
|
5,170,513 |
|
|
|
16,889 |
|
|
|
— |
|
|
|
5,153,624 |
|
|
Noncontrolling interests not subject to put provisions |
|
|
189,798 |
|
|
|
— |
|
|
|
— |
|
|
|
189,798 |
|
|
Shareholders' equity |
|
|
5,360,311 |
|
|
|
16,889 |
|
|
|
— |
|
|
|
5,343,422 |
|
|
Total liabilities and shareholder's equity |
|
$ |
17,942,715 |
|
|
$ |
470,764 |
|
|
$ |
2,811 |
|
|
$ |
17,469,140 |
|
|
As of December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
946,249 |
|
|
$ |
127,309 |
|
|
$ |
— |
|
|
$ |
818,940 |
|
|
Accounts receivable, net |
|
|
1,485,163 |
|
|
|
235,463 |
|
|
|
— |
|
|
|
1,249,700 |
|
|
Other current assets |
|
|
1,040,866 |
|
|
|
35,640 |
|
|
|
— |
|
|
|
1,005,226 |
|
|
Total current assets |
|
|
3,472,278 |
|
|
|
398,412 |
|
|
|
— |
|
|
|
3,073,866 |
|
|
Property and equipment, net |
|
|
2,189,411 |
|
|
|
5,541 |
|
|
|
— |
|
|
|
2,183,870 |
|
|
Amortizable intangibles, net |
|
|
2,024,373 |
|
|
|
7,283 |
|
|
|
— |
|
|
|
2,017,090 |
|
|
Other long-term assets |
|
|
199,841 |
|
|
|
64,013 |
|
|
|
3,325 |
|
|
|
132,503 |
|
|
Goodwill |
|
|
9,212,974 |
|
|
|
8,981 |
|
|
|
— |
|
|
|
9,203,993 |
|
|
Total assets |
|
$ |
17,098,877 |
|
|
$ |
484,230 |
|
|
$ |
3,325 |
|
|
$ |
16,611,322 |
|
|
Current liabilities |
|
$ |
2,462,049 |
|
|
$ |
193,079 |
|
|
$ |
— |
|
|
$ |
2,268,970 |
|
|
Payables to parent |
|
|
— |
|
|
|
194,958 |
|
|
|
3,325 |
|
|
|
(198,283 |
) |
|
Long-term debt and other long-term liabilities |
|
|
9,333,987 |
|
|
|
94,727 |
|
|
|
— |
|
|
|
9,239,260 |
|
|
Noncontrolling interests subject to put provisions |
|
|
697,300 |
|
|
|
— |
|
|
|
— |
|
|
|
697,300 |
|
|
Total DaVita HealthCare Partners Inc. shareholders’' equity |
|
|
4,432,479 |
|
|
|
1,466 |
|
|
|
— |
|
|
|
4,431,013 |
|
|
Noncontrolling interests not subject to put provisions |
|
|
173,062 |
|
|
|
— |
|
|
|
— |
|
|
|
173,062 |
|
|
Shareholders' equity |
|
|
4,605,541 |
|
|
|
1,466 |
|
|
|
— |
|
|
|
4,604,075 |
|
|
Total liabilities and shareholder's equity |
|
$ |
17,098,877 |
|
|
$ |
484,230 |
|
|
$ |
3,325 |
|
|
$ |
16,611,322 |
|
|
(1) |
After the elimination of the unrestricted subsidiaries and the physician groups |
Condensed Consolidating Statements of Cash Flows
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
For the year ended December 31, 2014 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
863,330 |
|
|
$ |
17,257 |
|
|
$ |
(308 |
) |
|
$ |
846,381 |
|
|
Changes in operating and intercompany assets and liabilities and
non cash items included in net income |
|
|
596,077 |
|
|
|
1,048 |
|
|
|
308 |
|
|
|
594,721 |
|
|
Net cash provided by operating activities |
|
|
1,459,407 |
|
|
|
18,305 |
|
|
|
— |
|
|
|
1,441,102 |
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions of property and equipment |
|
|
(641,330 |
) |
|
|
2,058 |
|
|
|
— |
|
|
|
(643,388 |
) |
|
Acquisitions and divestitures, net |
|
|
(272,094 |
) |
|
|
— |
|
|
|
— |
|
|
|
(272,094 |
) |
|
Proceeds from asset sales |
|
|
8,791 |
|
|
|
— |
|
|
|
— |
|
|
|
8,791 |
|
|
Investments and other items |
|
|
(373,096 |
) |
|
|
(16,745 |
) |
|
|
— |
|
|
|
(356,351 |
) |
|
Net cash used in investing activities |
|
|
(1,277,729 |
) |
|
|
(14,687 |
) |
|
|
— |
|
|
|
(1,263,042 |
) |
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt and related financing costs, net |
|
|
(7,989 |
) |
|
|
— |
|
|
|
— |
|
|
|
(7,989 |
) |
|
Intercompany |
|
|
— |
|
|
|
(18,479 |
) |
|
|
— |
|
|
|
18,479 |
|
|
Other items |
|
|
(156,990 |
) |
|
|
— |
|
|
|
— |
|
|
|
(156,990 |
) |
|
Net cash used in financing activities |
|
|
(164,979 |
) |
|
|
(18,479 |
) |
|
|
— |
|
|
|
(146,500 |
) |
|
Effect of exchange rate changes on cash |
|
|
2,293 |
|
|
|
— |
|
|
|
— |
|
|
|
2,293 |
|
|
Net increase (decrease) in cash |
|
|
18,992 |
|
|
|
(14,861 |
) |
|
|
— |
|
|
|
33,853 |
|
|
Cash at beginning of the year |
|
|
946,249 |
|
|
|
127,309 |
|
|
|
— |
|
|
|
818,940 |
|
|
Cash at the end of the year |
|
$ |
965,241 |
|
|
$ |
112,448 |
|
|
$ |
— |
|
|
$ |
852,793 |
|
|
For the year ended December 31, 2013 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
757,201 |
|
|
$ |
4,481 |
|
|
$ |
(274 |
) |
|
$ |
752,994 |
|
|
Changes in operating and intercompany assets and liabilities and
non cash items included in net income |
|
|
1,016,140 |
|
|
|
4,343 |
|
|
|
274 |
|
|
|
1,011,523 |
|
|
Net cash provided by operating activities |
|
|
1,773,341 |
|
|
|
8,824 |
|
|
|
— |
|
|
|
1,764,517 |
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions of property and equipment |
|
|
(617,597 |
) |
|
|
(2,262 |
) |
|
|
— |
|
|
|
(615,335 |
) |
|
Acquisitions and divestitures, net |
|
|
(310,394 |
) |
|
|
— |
|
|
|
— |
|
|
|
(310,394 |
) |
|
Proceeds from discontinued operations |
|
|
62,258 |
|
|
|
— |
|
|
|
— |
|
|
|
62,258 |
|
|
Investments and other items |
|
|
(11,149 |
) |
|
|
— |
|
|
|
— |
|
|
|
(11,149 |
) |
|
Net cash used in investing activities |
|
|
(876,882 |
) |
|
|
(2,262 |
) |
|
|
— |
|
|
|
(874,620 |
) |
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt |
|
|
(438,007 |
) |
|
|
— |
|
|
|
— |
|
|
|
(438,007 |
) |
|
Intercompany |
|
|
— |
|
|
|
(11,615 |
) |
|
|
— |
|
|
|
11,615 |
|
|
Other items |
|
|
(44,984 |
) |
|
|
— |
|
|
|
— |
|
|
|
(44,984 |
) |
|
Net cash used in financing activities |
|
|
(482,991 |
) |
|
|
(11,615 |
) |
|
|
— |
|
|
|
(471,376 |
) |
|
Effect of exchange rate changes on cash |
|
|
(967 |
) |
|
|
— |
|
|
|
— |
|
|
|
(967 |
) |
|
Net increase (decrease) in cash |
|
|
412,501 |
|
|
|
(5,053 |
) |
|
|
— |
|
|
|
417,554 |
|
|
Cash at beginning of the year |
|
|
533,748 |
|
|
|
132,362 |
|
|
|
— |
|
|
|
401,386 |
|
|
Cash at the end of the year |
|
$ |
946,249 |
|
|
$ |
127,309 |
|
|
$ |
— |
|
|
$ |
818,940 |
|
|
|
|
Consolidated Total |
|
|
Physician Groups |
|
|
Unrestricted Subsidiaries |
|
|
Company and Restricted Subsidiaries(1) |
|
|
For the year ended December 31, 2012 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
641,237 |
|
|
$ |
(1,092 |
) |
|
$ |
823 |
|
|
$ |
641,506 |
|
|
Changes in operating and intercompany assets and liabilities and
non cash items included in net income |
|
|
459,611 |
|
|
|
(26,549 |
) |
|
|
(823 |
) |
|
|
486,983 |
|
|
Net cash provided by operating activities |
|
|
1,100,848 |
|
|
|
(27,641 |
) |
|
|
— |
|
|
|
1,128,489 |
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions of property and equipment |
|
|
(550,146 |
) |
|
|
(4,794 |
) |
|
|
— |
|
|
|
(545,352 |
) |
|
Acquisitions and divestitures, net |
|
|
(4,294,077 |
) |
|
|
— |
|
|
|
— |
|
|
|
(4,294,077 |
) |
|
Proceeds from discontinued operations |
|
|
3,559 |
|
|
|
— |
|
|
|
— |
|
|
|
3,559 |
|
|
Investments and other items |
|
|
8,214 |
|
|
|
— |
|
|
|
— |
|
|
|
8,214 |
|
|
Net cash used in investing activities |
|
|
(4,832,450 |
) |
|
|
(4,794 |
) |
|
|
— |
|
|
|
(4,827,656 |
) |
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt |
|
|
3,904,893 |
|
|
|
— |
|
|
|
— |
|
|
|
3,904,893 |
|
|
Intercompany |
|
|
— |
|
|
|
164,797 |
|
|
|
— |
|
|
|
(164,797 |
) |
|
Other items |
|
|
(32,509 |
) |
|
|
— |
|
|
|
— |
|
|
|
(32,509 |
) |
|
Net cash provided by financing activities |
|
|
3,872,384 |
|
|
|
164,797 |
|
|
|
— |
|
|
|
3,707,587 |
|
|
Effect of exchange rate changes on cash |
|
|
(786 |
) |
|
|
— |
|
|
|
— |
|
|
|
(786 |
) |
|
Net increase in cash |
|
|
139,996 |
|
|
|
132,362 |
|
|
|
— |
|
|
|
7,634 |
|
|
Cash at beginning of the year |
|
|
393,752 |
|
|
|
— |
|
|
|
— |
|
|
|
393,752 |
|
|
Cash at the end of the year |
|
$ |
533,748 |
|
|
$ |
132,362 |
|
|
$ |
— |
|
|
$ |
401,386 |
|
|
(1) |
After the elimination of the unrestricted subsidiaries and the physician groups | |