| Dec'17 | Dec'16 | Dec'15 | Dec'14 | |||
|---|---|---|---|---|---|---|
Cash flows from operating activities: | ||||||
Net earnings (loss) | ||||||
-26,000 | 205,500 | 381,200 | 244,800 | |||
Adjustments to reconcile net loss to net cash flows provided by operating activities: | ||||||
Depreciation and amortization | ||||||
434,000 | 149,900 | 97,500 | 60,300 | |||
Amortization of deferred loan costs | ||||||
17,200 | 9,200 | 8,400 | 17,700 | |||
Provision for uncollectibles | ||||||
5,276,200 | 917,200 | 287,400 | 139,300 | |||
Net loss on disposals and deconsolidations | ||||||
-2,400 | 5,700 | 36,700 | 3,400 | |||
Share-based compensation | ||||||
48,700 | 29,400 | 15,000 | - | |||
Share-based compensation | ||||||
40,900 | 28,600 | 15,000 | 10,100 | |||
Deferred income taxes | ||||||
-481,400 | -78,900 | 19,000 | 30,800 | |||
Equity in earnings of unconsolidated affiliates | ||||||
22,700 | 23,700 | 16,200 | 7,100 | |||
Debt extinguishment costs | ||||||
0 | -30,300 | 0 | -16,900 | |||
Impairment charges | ||||||
500,300 | 221,300 | 0 | 0 | |||
Net change in fair value of contingent consideration | ||||||
100 | -2,600 | 8,800 | 0 | |||
Loss on assets held for sale | ||||||
515,200 | 0 | 0 | - | |||
Other, net | ||||||
0 | 3,900 | 4,000 | 300 | |||
Increases (decreases) in cash, cash equivalents, restricted cash, and restricted cash equivalents net of acquisitions and dispositions: | ||||||
Accounts receivable | ||||||
5,455,500 | 1,003,000 | 326,200 | 137,700 | |||
Supplies inventory | ||||||
-1,000 | 900 | 300 | 200 | |||
Prepaid and other current assets | ||||||
13,800 | 42,300 | -25,900 | 9,100 | |||
Accounts payable | ||||||
-12,100 | -1,600 | 3,100 | -8,400 | |||
Accrued expenses and other liabilities | ||||||
9,400 | 2,300 | 66,600 | 66,200 | |||
Other, net | ||||||
-4,400 | -17,300 | -8,500 | -4,900 | |||
Net cash flows provided by operating activities | ||||||
797,400 | 419,800 | 538,000 | 424,800 | |||
Cash flows from investing activities: | ||||||
Acquisitions and related expenses, net of cash acquired | ||||||
757,800 | 394,300 | 962,700 | 2,184,100 | |||
Acquisition of property and equipment | ||||||
208,900 | 99,500 | 60,300 | 40,200 | |||
Increase in cash due to merger (see Notes 1 and 4) | ||||||
0 | 165,800 | 0 | 0 | |||
Increase in cash due to consolidation of previously unconsolidated affiliates | ||||||
0 | 31,400 | 0 | 0 | |||
Purchases of marketable securities | ||||||
24,500 | 1,600 | 3,900 | 6,500 | |||
Maturities of marketable securities | ||||||
15,000 | 3,800 | 4,200 | 3,500 | |||
Other, net | ||||||
5,900 | 9,300 | -5,900 | -2,200 | |||
Net cash flows provided by (used in) investing activities | ||||||
-982,100 | -303,700 | -1,016,800 | -2,225,100 | |||
Cash flows from financing activities: | ||||||
Proceeds from long-term borrowings | ||||||
801,900 | 4,509,200 | 560,100 | 2,049,000 | |||
Repayment on long-term borrowings | ||||||
341,700 | 4,062,100 | 392,600 | 408,500 | |||
Distributions to noncontrolling interests | ||||||
229,800 | 227,900 | 214,900 | 190,100 | |||
Proceeds from preferred stock offering | ||||||
- | - | - | 172,500 | |||
Proceeds from common stock offering | ||||||
0 | 0 | 466,800 | 439,900 | |||
Proceeds from issuance of common stock upon exercise of stock options | ||||||
5,400 | 700 | 2,600 | 2,600 | |||
Repurchase of common stock | ||||||
9,500 | 6,100 | 3,700 | 4,600 | |||
Payments of equity issuance costs | ||||||
0 | 0 | 19,100 | 24,500 | |||
Financing costs incurred | ||||||
3,500 | 103,400 | 1,100 | 78,200 | |||
Other, net | ||||||
-17,500 | -1,600 | -20,700 | -500 | |||
Net cash flows provided by (used in) financing activities | ||||||
205,300 | 108,800 | 377,400 | 1,957,600 | |||
Net increase (decrease) in cash, cash equivalents, and restricted cash | ||||||
20,600 | 224,900 | -101,400 | 157,300 | |||
Supplemental cash flow information: | ||||||
Interest payments | ||||||
- | - | - | 38,100 | |||
Income tax payments, net of refunds | ||||||
- | - | - | 19,200 | |||