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Supplemental Consolidating Financial Information
12 Months Ended
Dec. 31, 2013
Supplemental Financial Information [Abstract]  
Supplemental Condensed Consolidating Financial Information Disclosure

 

 

19.  SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION  

 

The Senior Notes, which are senior unsecured obligations of CHS, and the 5⅛% Senior Secured Notes are guaranteed on a senior basis by the Company and by certain of its existing and subsequently acquired or organized 100% owned domestic subsidiaries.  The Senior Notes and the 5⅛% Senior Secured Notes are fully and unconditionally guaranteed on a joint and several basis, with exceptions considered customary for such guarantees, limited to the release of the guarantee when a subsidiary guarantor’s capital stock is sold, or a sale of all of the subsidiary guarantor’s assets used in operations. The following condensed consolidating financial statements present Community Health Systems, Inc. (as parent guarantor), CHS (as the issuer), the subsidiary guarantors, the subsidiary non-guarantors and eliminations. These condensed consolidating financial statements have been prepared and presented in accordance with SEC Regulation S-X Rule 3-10 “Financial Statements of Guarantors and Issuers of Guaranteed Securities Registered or Being Registered.” 

 

The accounting policies used in the preparation of this financial information are consistent with those elsewhere in the consolidated financial statements of the Company, except as noted below: 

 

Intercompany receivables and payables are presented gross in the supplemental condensed consolidating balance sheets. 

 

Cash flows from intercompany transactions are presented in cash flows from financing activities, as changes in intercompany balances with affiliates, net. 

 

Income tax expense is allocated from the parent guarantor to the income producing operations (other guarantors and non-guarantors) and the issuer through stockholders’ equity. As this approach represents an allocation, the income tax expense allocation is considered non-cash for statement of cash flow purposes. 

 

Interest expense, net has been presented to reflect net interest expense and interest income from outstanding long-term debt and intercompany balances. 

 

The Company’s intercompany activity consists primarily of daily cash transfers for purposes of cash management, the allocation of certain expenses and expenditures paid for by the parent on behalf of its subsidiaries, and the push down of investment in its subsidiaries. This activity also includes the intercompany transactions between consolidated entities as part of the Receivables Facility that is further discussed in Note 6.  The Company’s subsidiaries generally do not purchase services from one another; thus, the intercompany transactions do not represent revenue generating transactions. All intercompany transactions eliminate in consolidation. 

 

From time to time, the Company sells and/or repurchases noncontrolling interests in consolidated subsidiaries, which may change subsidiaries between guarantors and non-guarantors. Amounts for prior periods are revised to reflect the status of guarantors or non-guarantors as of December 31, 2013.

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Statement of Income

Year Ended December 31, 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent Guarantor

 

Issuer

 

Other Guarantors

 

Non - Guarantors

 

Eliminations

 

Consolidated

 

(In thousands)

Operating revenues (net of contractual

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

allowances and discounts)

$

 -

 

$

(14,923)

 

$

9,639,380 

 

$

5,453,617 

 

$

 -

 

$

15,078,074 

Provision for bad debts

 

 -

 

 

 -

 

 

1,425,853 

 

 

654,528 

 

 

 -

 

 

2,080,381 

  Net operating revenues

 

 -

 

 

(14,923)

 

 

8,213,527 

 

 

4,799,089 

 

 

 -

 

 

12,997,693 

Operating costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

 -

 

 

 -

 

 

3,661,669 

 

 

2,556,078 

 

 

 -

 

 

6,217,747 

Supplies

 

 -

 

 

 -

 

 

1,299,607 

 

 

694,509 

 

 

 -

 

 

1,994,116 

Other operating expenses

 

 -

 

 

240 

 

 

1,869,417 

 

 

1,010,700 

 

 

 -

 

 

2,880,357 

Government settlement and related costs

 

 -

 

 

 -

 

 

101,500 

 

 

 -

 

 

 -

 

 

101,500 

Electronic health records incentive reimbursement

 

 -

 

 

 -

 

 

(107,345)

 

 

(58,532)

 

 

 -

 

 

(165,877)

Rent

 

 -

 

 

 -

 

 

161,647 

 

 

125,765 

 

 

 -

 

 

287,412 

Depreciation and amortization

 

 -

 

 

 -

 

 

529,532 

 

 

253,143 

 

 

 -

 

 

782,675 

Total operating costs and expenses

 

 -

 

 

240 

 

 

7,516,027 

 

 

4,581,663 

 

 

 -

 

 

12,097,930 

Income from operations

 

 -

 

 

(15,163)

 

 

697,500 

 

 

217,426 

 

 

 -

 

 

899,763 

Interest expense, net

 

 -

 

 

(4,749)

 

 

556,691 

 

 

63,205 

 

 

 -

 

 

615,147 

Loss from early extinguishment of debt

 

 -

 

 

1,295 

 

 

 -

 

 

 -

 

 

 -

 

 

1,295 

Equity in earnings of unconsolidated affiliates

 

(141,203)

 

 

(138,906)

 

 

(85,859)

 

 

 -

 

 

323,327 

 

 

(42,641)

Impairment of long-lived assets

 

 -

 

 

 -

 

 

20,100 

 

 

 -

 

 

 -

 

 

20,100 

Income from continuing operations before income taxes

 

141,203 

 

 

127,197 

 

 

206,568 

 

 

154,221 

 

 

(323,327)

 

 

305,862 

Provision for (benefit from) income taxes

 

 -

 

 

(14,006)

 

 

74,437 

 

 

28,163 

 

 

 -

 

 

88,594 

Income from continuing operations

 

141,203 

 

 

141,203 

 

 

132,131 

 

 

126,058 

 

 

(323,327)

 

 

217,268 

Discontinued operations, net of taxes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss from operations of entities sold

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Impairment of hospitals sold

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Loss on sale, net

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Loss from discontinued operations, net of taxes

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Net income

 

141,203 

 

 

141,203 

 

 

132,131 

 

 

126,058 

 

 

(323,327)

 

 

217,268 

Less: Net income attributable to noncontrolling interests

 

 -

 

 

 -

 

 

 -

 

 

76,065 

 

 

 -

 

 

76,065 

Net income attributable to Community Health Systems,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inc. stockholders

$

141,203 

 

$

141,203 

 

$

132,131 

 

$

49,993 

 

$

(323,327)

 

$

141,203 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Statement of Income

Year Ended December 31, 2012

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent Guarantor

 

Issuer

 

Other Guarantors

 

Non - Guarantors

 

Eliminations

 

Consolidated

 

(In thousands)

Operating revenues (net of contractual

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

allowances and discounts)

$

 -

 

$

(9,653)

 

$

9,579,838 

 

$

5,417,994 

 

$

 -

 

$

14,988,179 

Provision for bad debts

 

 -

 

 

 -

 

 

1,323,508 

 

 

635,686 

 

 

 -

 

 

1,959,194 

  Net operating revenues

 

 -

 

 

(9,653)

 

 

8,256,330 

 

 

4,782,308 

 

 

 -

 

 

13,028,985 

Operating costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

 -

 

 

 -

 

 

3,623,082 

 

 

2,480,849 

 

 

 -

 

 

6,103,931 

Supplies

 

 -

 

 

 -

 

 

1,297,714 

 

 

675,777 

 

 

 -

 

 

1,973,491 

Other operating expenses

 

 -

 

 

603 

 

 

1,873,782 

 

 

995,401 

 

 

 -

 

 

2,869,786 

Government settlement and related costs

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Electronic health records incentive reimbursement

 

 -

 

 

 -

 

 

(79,936)

 

 

(46,798)

 

 

 -

 

 

(126,734)

Rent

 

 -

 

 

 -

 

 

152,205 

 

 

120,624 

 

 

 -

 

 

272,829 

Depreciation and amortization

 

 -

 

 

 -

 

 

480,912 

 

 

244,646 

 

 

 -

 

 

725,558 

Total operating costs and expenses

 

 -

 

 

603 

 

 

7,347,759 

 

 

4,470,499 

 

 

 -

 

 

11,818,861 

Income from operations

 

 -

 

 

(10,256)

 

 

908,571 

 

 

311,809 

 

 

 -

 

 

1,210,124 

Interest expense, net

 

 -

 

 

58,726 

 

 

505,270 

 

 

58,937 

 

 

 -

 

 

622,933 

Loss from early extinguishment of debt

 

 -

 

 

115,453 

 

 

 -

 

 

 -

 

 

 -

 

 

115,453 

Equity in earnings of unconsolidated affiliates

 

(265,640)

 

 

(348,878)

 

 

(150,606)

 

 

 -

 

 

723,091 

 

 

(42,033)

Impairment of long-lived assets

 

 -

 

 

 -

 

 

10,000 

 

 

 -

 

 

 -

 

 

10,000 

Income from continuing operations before income taxes

 

265,640 

 

 

164,443 

 

 

543,907 

 

 

252,872 

 

 

(723,091)

 

 

503,771 

Provision for (benefit from) income taxes

 

 -

 

 

(101,197)

 

 

196,351 

 

 

62,348 

 

 

 -

 

 

157,502 

Income from continuing operations

 

265,640 

 

 

265,640 

 

 

347,556 

 

 

190,524 

 

 

(723,091)

 

 

346,269 

Discontinued operations, net of taxes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss from operations of entities sold

 

 -

 

 

 -

 

 

 -

 

 

(466)

 

 

 -

 

 

(466)

Impairment of hospitals sold

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Loss on sale, net

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Loss from discontinued operations, net of taxes

 

 -

 

 

 -

 

 

 -

 

 

(466)

 

 

 -

 

 

(466)

Net income

 

265,640 

 

 

265,640 

 

 

347,556 

 

 

190,058 

 

 

(723,091)

 

 

345,803 

Less: Net income attributable to noncontrolling interests

 

 -

 

 

 -

 

 

 -

 

 

80,163 

 

 

 -

 

 

80,163 

Net income attributable to Community Health Systems,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inc. stockholders

$

265,640 

 

$

265,640 

 

$

347,556 

 

$

109,895 

 

$

(723,091)

 

$

265,640 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Statement of Income

Year Ended December 31, 2011

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent Guarantor

 

Issuer

 

Other Guarantors

 

Non - Guarantors

 

Eliminations

 

Consolidated

 

(In thousands)

Operating revenues (net of contractual

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

allowances and discounts)

$

 -

 

$

 -

 

$

8,625,818 

 

$

5,000,350 

 

$

 -

 

$

13,626,168 

Provision for bad debts

 

 -

 

 

 -

 

 

1,137,662 

 

 

582,294 

 

 

 -

 

 

1,719,956 

  Net operating revenues

 

 -

 

 

 -

 

 

7,488,156 

 

 

4,418,056 

 

 

 -

 

 

11,906,212 

Operating costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

 -

 

 

 -

 

 

3,284,123 

 

 

2,293,802 

 

 

 -

 

 

5,577,925 

Supplies

 

 -

 

 

 -

 

 

1,183,817 

 

 

650,289 

 

 

 -

 

 

1,834,106 

Other operating expenses

 

 -

 

 

 -

 

 

1,634,806 

 

 

880,832 

 

 

 -

 

 

2,515,638 

Government settlement and related costs

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Electronic health records incentive reimbursement

 

 -

 

 

 -

 

 

(43,959)

 

 

(19,438)

 

 

 -

 

 

(63,397)

Rent

 

 -

 

 

 -

 

 

138,229 

 

 

116,552 

 

 

 -

 

 

254,781 

Depreciation and amortization

 

 -

 

 

 -

 

 

420,824 

 

 

231,850 

 

 

 -

 

 

652,674 

Total operating costs and expenses

 

 -

 

 

 -

 

 

6,617,840 

 

 

4,153,887 

 

 

 -

 

 

10,771,727 

Income from operations

 

 -

 

 

 -

 

 

870,316 

 

 

264,169 

 

 

 -

 

 

1,134,485 

Interest expense, net

 

 -

 

 

87,095 

 

 

495,888 

 

 

61,427 

 

 

 -

 

 

644,410 

Loss from early extinguishment of debt

 

 -

 

 

66,019 

 

 

 -

 

 

 -

 

 

 -

 

 

66,019 

Equity in earnings of unconsolidated affiliates

 

(201,948)

 

 

(287,903)

 

 

(65,846)

 

 

 -

 

 

506,206 

 

 

(49,491)

Impairment of long-lived assets

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Income from continuing operations before income taxes

 

201,948 

 

 

134,789 

 

 

440,274 

 

 

202,742 

 

 

(506,206)

 

 

473,547 

Provision for (benefit from) income taxes

 

 -

 

 

(67,159)

 

 

158,939 

 

 

45,873 

 

 

 -

 

 

137,653 

Income from continuing operations

 

201,948 

 

 

201,948 

 

 

281,335 

 

 

156,869 

 

 

(506,206)

 

 

335,894 

Discontinued operations, net of taxes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss from operations of entities sold

 

 -

 

 

 -

 

 

 -

 

 

(7,769)

 

 

 -

 

 

(7,769)

Impairment of hospitals sold

 

 -

 

 

 -

 

 

 -

 

 

(47,930)

 

 

 -

 

 

(47,930)

Loss on sale, net

 

 -

 

 

 -

 

 

 -

 

 

(2,572)

 

 

 -

 

 

(2,572)

Loss from discontinued operations, net of taxes

 

 -

 

 

 -

 

 

 -

 

 

(58,271)

 

 

 -

 

 

(58,271)

Net income

 

201,948 

 

 

201,948 

 

 

281,335 

 

 

98,598 

 

 

(506,206)

 

 

277,623 

Less: Net income attributable to noncontrolling interests

 

 -

 

 

 -

 

 

 -

 

 

75,675 

 

 

 -

 

 

75,675 

Net income attributable to Community Health Systems,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inc. stockholders

$

201,948 

 

$

201,948 

 

$

281,335 

 

$

22,923 

 

$

(506,206)

 

$

201,948 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Statement of Comprehensive Income

Year Ended December 31, 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent Guarantor

 

Issuer

 

Other Guarantors

 

Non - Guarantors

 

Eliminations

 

Consolidated

 

 

(In thousands)

Net income

$

141,203 

 

$

141,203 

 

$

132,131 

 

$

126,058 

 

$

(323,327)

 

$

217,268 

Other comprehensive income (loss), net of income taxes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net change in fair value of interest rate swaps, net of tax

 

60,304 

 

 

60,304 

 

 

 -

 

 

 -

 

 

(60,304)

 

 

60,304 

Net change in fair value of available-for-sale securities, net

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of tax

 

2,181 

 

 

2,181 

 

 

2,181 

 

 

 -

 

 

(4,362)

 

 

2,181 

Amortization and recognition of unrecognized pension

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

cost components, net of tax

 

15,320 

 

 

15,320 

 

 

15,320 

 

 

 -

 

 

(30,640)

 

 

15,320 

Other comprehensive income (loss)

 

77,805 

 

 

77,805 

 

 

17,501 

 

 

 -

 

 

(95,306)

 

 

77,805 

Comprehensive income

 

219,008 

 

 

219,008 

 

 

149,632 

 

 

126,058 

 

 

(418,633)

 

 

295,073 

Less: Comprehensive income attributable to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

noncontrolling interests

 

 -

 

 

 -

 

 

 -

 

 

76,065 

 

 

 -

 

 

76,065 

Comprehensive income attributable to Community

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Health Systems, Inc. stockholders

$

219,008 

 

$

219,008 

 

$

149,632 

 

$

49,993 

 

$

(418,633)

 

$

219,008 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Statement of Comprehensive Income

Year Ended December 31, 2012

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent Guarantor

 

Issuer

 

Other Guarantors

 

Non - Guarantors

 

Eliminations

 

Consolidated

 

 

(In thousands)

Net income

$

265,640 

 

$

265,640 

 

$

347,556 

 

$

190,058 

 

$

(723,091)

 

$

345,803 

Other comprehensive income (loss), net of income taxes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net change in fair value of interest rate swaps, net of tax

 

46,409 

 

 

46,409 

 

 

 -

 

 

 -

 

 

(46,409)

 

 

46,409 

Net change in fair value of available-for-sale securities, net

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of tax

 

3,012 

 

 

3,012 

 

 

3,012 

 

 

 -

 

 

(6,024)

 

 

3,012 

Amortization and recognition of unrecognized pension

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

cost components, net of tax

 

(10,252)

 

 

(10,252)

 

 

(10,252)

 

 

 -

 

 

20,504 

 

 

(10,252)

Other comprehensive income (loss)

 

39,169 

 

 

39,169 

 

 

(7,240)

 

 

 -

 

 

(31,929)

 

 

39,169 

Comprehensive income

 

304,809 

 

 

304,809 

 

 

340,316 

 

 

190,058 

 

 

(755,020)

 

 

384,972 

Less: Comprehensive income attributable to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

noncontrolling interests

 

 -

 

 

 -

 

 

 -

 

 

80,163 

 

 

 -

 

 

80,163 

Comprehensive income attributable to Community

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Health Systems, Inc. stockholders

$

304,809 

 

$

304,809 

 

$

340,316 

 

$

109,895 

 

$

(755,020)

 

$

304,809 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Statement of Comprehensive Income

Year Ended December 31, 2011

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent Guarantor

 

Issuer

 

Other Guarantors

 

Non - Guarantors

 

Eliminations

 

Consolidated

 

 

(In thousands)

Net income

$

201,948 

 

$

201,948 

 

$

281,335 

 

$

98,598 

 

$

(506,206)

 

$

277,623 

Other comprehensive income (loss), net of income taxes:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net change in fair value of interest rate swaps, net of tax

 

55,145 

 

 

55,145 

 

 

 -

 

 

 -

 

 

(55,145)

 

 

55,145 

Net change in fair value of available-for-sale securities, net

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of tax

 

(960)

 

 

(960)

 

 

(960)

 

 

 -

 

 

1,920 

 

 

(960)

Amortization and recognition of unrecognized pension

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

cost components, net of tax

 

(7,737)

 

 

(7,737)

 

 

(7,737)

 

 

 -

 

 

15,474 

 

 

(7,737)

Other comprehensive income (loss)

 

46,448 

 

 

46,448 

 

 

(8,697)

 

 

 -

 

 

(37,751)

 

 

46,448 

Comprehensive income

 

248,396 

 

 

248,396 

 

 

272,638 

 

 

98,598 

 

 

(543,957)

 

 

324,071 

Less: Comprehensive income attributable to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

noncontrolling interests

 

 -

 

 

 -

 

 

 -

 

 

75,675 

 

 

 -

 

 

75,675 

Comprehensive income attributable to Community

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Health Systems, Inc. stockholders

$

248,396 

 

$

248,396 

 

$

272,638 

 

$

22,923 

 

$

(543,957)

 

$

248,396 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Balance Sheet

December 31, 2013

 

Parent

 

 

 

 

Other  

 

Non - 

 

 

 

 

 

 

 

Guarantor

 

Issuer

 

Guarantors

 

Guarantors

 

Eliminations

 

Consolidated

 

(In thousands)

ASSETS

Current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

$

 -

 

$

 -

 

$

238,336 

 

$

135,067 

 

$

 -

 

$

373,403 

Patient accounts receivable, net of allowance

 

 

 

 

 

 

 

 

 

 

 -

 

 

 

 

 

 

for doubtful accounts

 

 -

 

 

 -

 

 

885,091 

 

 

1,468,217 

 

 

 -

 

 

2,353,308 

Supplies

 

 -

 

 

 -

 

 

260,432 

 

 

116,573 

 

 

 -

 

 

377,005 

Prepaid income taxes

 

107,077 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

107,077 

Deferred income taxes

 

101,372 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

101,372 

Prepaid expenses and taxes

 

 -

 

 

112 

 

 

98,854 

 

 

29,510 

 

 

 -

 

 

128,476 

Other current assets

 

 -

 

 

 -

 

 

239,462 

 

 

67,860 

 

 

 -

 

 

307,322 

Total current assets

 

208,449 

 

 

112 

 

 

1,722,175 

 

 

1,817,227 

 

 

 -

 

 

3,747,963 

Intercompany receivable

 

579,793 

 

 

9,540,603 

 

 

4,529,246 

 

 

3,811,213 

 

 

(18,460,855)

 

 

 -

Property and equipment, net

 

 -

 

 

 -

 

 

4,711,947 

 

 

2,402,516 

 

 

 -

 

 

7,114,463 

Goodwill

 

 -

 

 

 -

 

 

2,549,724 

 

 

1,894,411 

 

 

 -

 

 

4,444,135 

Other assets, net

 

 -

 

 

144,148 

 

 

1,381,113 

 

 

816,846 

 

 

(531,373)

 

 

1,810,734 

Net investment in subsidiaries

 

3,193,971 

 

 

9,335,210 

 

 

4,029,631 

 

 

 -

 

 

(16,558,812)

 

 

 -

Total assets

$

3,982,213 

 

$

19,020,073 

 

$

18,923,836 

 

$

10,742,213 

 

$

(35,551,040)

 

$

17,117,295 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND EQUITY

Current liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current maturities of long-term debt

$

 -

 

$

152,050 

 

$

12,467 

 

$

2,385 

 

$

 -

 

$

166,902 

Accounts payable

 

 -

 

 

19 

 

 

740,628 

 

 

217,946 

 

 

 -

 

 

958,593 

Deferred income taxes

 

3,183 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

3,183 

Accrued interest

 

 -

 

 

111,330 

 

 

124 

 

 

437 

 

 

 -

 

 

111,891 

Accrued liabilities

 

4,178 

 

 

 -

 

 

864,261 

 

 

348,475 

 

 

 -

 

 

1,216,914 

Total current liabilities

 

7,361 

 

 

263,399 

 

 

1,617,480 

 

 

569,243 

 

 

 -

 

 

2,457,483 

Long-term debt

 

 -

 

 

8,718,379 

 

 

50,862 

 

 

517,254 

 

 

 -

 

 

9,286,495 

Intercompany payable

 

 -

 

 

6,225,192 

 

 

13,059,088 

 

 

8,264,666 

 

 

(27,548,946)

 

 

 -

Deferred income taxes

 

906,101 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

906,101 

Other long-term liabilities

 

924 

 

 

619,135 

 

 

671,193 

 

 

217,457 

 

 

(531,373)

 

 

977,336 

Total liabilities

 

914,386 

 

 

15,826,105 

 

 

15,398,623 

 

 

9,568,620 

 

 

(28,080,319)

 

 

13,627,415 

Redeemable noncontrolling interests in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

equity of consolidated subsidiaries

 

 -

 

 

 -

 

 

 -

 

 

358,410 

 

 

 -

 

 

358,410 

Equity:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Community Health Systems, Inc. stockholders’

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

equity:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Preferred stock

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Common stock

 

960 

 

 

 -

 

 

 

 

 

 

(3)

 

 

960 

Additional paid-in capital

 

1,255,855 

 

 

1,175,265 

 

 

1,274,420 

 

 

594,989 

 

 

(3,044,674)

 

 

1,255,855 

Treasury stock, at cost

 

(6,678)

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

(6,678)

Accumulated other comprehensive (loss)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

income

 

(67,505)

 

 

(67,505)

 

 

(11,425)

 

 

 -

 

 

78,930 

 

 

(67,505)

Retained earnings

 

1,885,195 

 

 

2,086,208 

 

 

2,262,217 

 

 

156,549 

 

 

(4,504,974)

 

 

1,885,195 

Total Community Health Systems, Inc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

stockholders’ equity

 

3,067,827 

 

 

3,193,968 

 

 

3,525,213 

 

 

751,540 

 

 

(7,470,721)

 

 

3,067,827 

Noncontrolling interests in equity of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

consolidated subsidiaries

 

 -

 

 

 -

 

 

 -

 

 

63,643 

 

 

 -

 

 

63,643 

Total equity

 

3,067,827 

 

 

3,193,968 

 

 

3,525,213 

 

 

815,183 

 

 

(7,470,721)

 

 

3,131,470 

Total liabilities and equity

$

3,982,213 

 

$

19,020,073 

 

$

18,923,836 

 

$

10,742,213 

 

$

(35,551,040)

 

$

17,117,295 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Balance Sheet

December 31, 2012

 

Parent

 

 

 

 

Other  

 

Non - 

 

 

 

 

 

 

 

Guarantor

 

Issuer

 

Guarantors

 

Guarantors

 

Eliminations

 

Consolidated

 

(In thousands)

ASSETS

Current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

$

 -

 

$

 -

 

$

271,559 

 

$

116,254 

 

$

 -

 

$

387,813 

Patient accounts receivable, net of allowance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

for doubtful accounts

 

 -

 

 

 -

 

 

676,649 

 

 

1,390,730 

 

 

 -

 

 

2,067,379 

Supplies

 

 -

 

 

 -

 

 

254,853 

 

 

113,319 

 

 

 -

 

 

368,172 

Prepaid income taxes

 

49,888 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

49,888 

Deferred income taxes

 

117,045 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

117,045 

Prepaid expenses and taxes

 

 -

 

 

115 

 

 

86,628 

 

 

39,818 

 

 

 -

 

 

126,561 

Other current assets

 

 -

 

 

 -

 

 

222,424 

 

 

79,860 

 

 

 -

 

 

302,284 

Total current assets

 

166,933 

 

 

115 

 

 

1,512,113 

 

 

1,739,981 

 

 

 -

 

 

3,419,142 

Intercompany receivable

 

406,534 

 

 

9,837,904 

 

 

3,723,120 

 

 

3,262,823 

 

 

(17,230,381)

 

 

 -

Property and equipment, net

 

 -

 

 

 -

 

 

4,660,557 

 

 

2,491,316 

 

 

 -

 

 

7,151,873 

Goodwill

 

 -

 

 

 -

 

 

2,544,195 

 

 

1,863,943 

 

 

 -

 

 

4,408,138 

Other assets, net

 

 -

 

 

165,236 

 

 

1,273,347 

 

 

816,373 

 

 

(627,774)

 

 

1,627,182 

Net investment in subsidiaries

 

2,974,965 

 

 

8,686,242 

 

 

3,427,182 

 

 

 -

 

 

(15,088,389)

 

 

 -

Total assets

$

3,548,432 

 

$

18,689,497 

 

$

17,140,514 

 

$

10,174,436 

 

$

(32,946,544)

 

$

16,606,335 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND EQUITY

Current liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current maturities of long-term debt

$

 -

 

$

75,679 

 

$

11,103 

 

$

3,129 

 

$

 -

 

$

89,911 

Accounts payable

 

 -

 

 

74 

 

 

583,865 

 

 

241,975 

 

 

 -

 

 

825,914 

Accrued interest

 

 -

 

 

110,091 

 

 

295 

 

 

316 

 

 

 -

 

 

110,702 

Accrued liabilities

 

7,580 

 

 

 -

 

 

748,010 

 

 

361,103 

 

 

 -

 

 

1,116,693 

Total current liabilities

 

7,580 

 

 

185,844 

 

 

1,343,273 

 

 

606,523 

 

 

 -

 

 

2,143,220 

Long-term debt

 

 -

 

 

9,079,392 

 

 

53,201 

 

 

318,801 

 

 

 -

 

 

9,451,394 

Intercompany payable

 

 -

 

 

5,639,928 

 

 

11,693,119 

 

 

7,822,313 

 

 

(25,155,360)

 

 

 -

Deferred income taxes

 

808,489 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

808,489 

Other long-term liabilities

 

1,156 

 

 

809,372 

 

 

675,341 

 

 

180,950 

 

 

(627,774)

 

 

1,039,045 

Total liabilities

 

817,225 

 

 

15,714,536 

 

 

13,764,934 

 

 

8,928,587 

 

 

(25,783,134)

 

 

13,442,148 

Redeemable noncontrolling interests in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

equity of consolidated subsidiaries

 

 -

 

 

 -

 

 

 -

 

 

367,666 

 

 

 -

 

 

367,666 

Equity:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Community Health Systems, Inc. stockholders’

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

equity:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Preferred stock

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Common stock

 

929 

 

 

 -

 

 

 

 

 

 

(3)

 

 

929 

Additional paid-in capital

 

1,138,274 

 

 

1,176,342 

 

 

1,283,499 

 

 

690,929 

 

 

(3,150,770)

 

 

1,138,274 

Treasury stock, at cost

 

(6,678)

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

(6,678)

Accumulated other comprehensive (loss)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

income

 

(145,310)

 

 

(145,310)

 

 

(28,927)

 

 

 -

 

 

174,237 

 

 

(145,310)

Retained earnings

 

1,743,992 

 

 

1,943,929 

 

 

2,121,007 

 

 

121,938 

 

 

(4,186,874)

 

 

1,743,992 

Total Community Health Systems, Inc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

stockholders’ equity

 

2,731,207 

 

 

2,974,961 

 

 

3,375,580 

 

 

812,869 

 

 

(7,163,410)

 

 

2,731,207 

Noncontrolling interests in equity of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

consolidated subsidiaries

 

 -

 

 

 -

 

 

 -

 

 

65,314 

 

 

 -

 

 

65,314 

Total equity

 

2,731,207 

 

 

2,974,961 

 

 

3,375,580 

 

 

878,183 

 

 

(7,163,410)

 

 

2,796,521 

Total liabilities and equity

$

3,548,432 

 

$

18,689,497 

 

$

17,140,514 

 

$

10,174,436 

 

$

(32,946,544)

 

$

16,606,335 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Statement of Cash Flows

Year Ended December 31, 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent

 

 

 

 

Other  

 

Non - 

 

 

 

 

 

 

 

Guarantor

 

Issuer

 

Guarantors

 

Guarantors

 

Eliminations

 

Consolidated

 

(In thousands)

Net cash (used in) provided by operating

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

activities

$

(78,754)

 

$

21,281 

 

$

871,489 

 

$

274,703 

 

$

 -

 

$

1,088,719 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Acquisitions of facilities and other related

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

equipment

 

 -

 

 

 -

 

 

(11,894)

 

 

(31,849)

 

 

 -

 

 

(43,743)

Purchases of property and equipment

 

 -

 

 

 -

 

 

(491,863)

 

 

(122,129)

 

 

 -

 

 

(613,992)

Proceeds from sale of property and equipment

 

 -

 

 

 -

 

 

3,540 

 

 

2,869 

 

 

 -

 

 

6,409 

Increase in other investments

 

 -

 

 

 -

 

 

(275,149)

 

 

(64,793)

 

 

 -

 

 

(339,942)

Net cash used in investing activities

 

 -

 

 

 -

 

 

(775,366)

 

 

(215,902)

 

 

 -

 

 

(991,268)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Proceeds from exercise of stock options

 

110,660 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

110,660 

Repurchase of restricted stock shares for payroll

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tax withholding requirements

 

(14,896)

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

(14,896)

Stock buy-back

 

(27,133)

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

(27,133)

Deferred financing costs

 

 -

 

 

(13,199)

 

 

 -

 

 

 -

 

 

 -

 

 

(13,199)

Excess tax benefit relating to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

stock-based compensation

 

6,715 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

6,715 

Payment of special dividend to stockholders

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Proceeds from noncontrolling investors in joint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ventures

 

 -

 

 

 -

 

 

 -

 

 

289 

 

 

 -

 

 

289 

Redemption of noncontrolling investments in joint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ventures

 

 -

 

 

 -

 

 

 -

 

 

(9,304)

 

 

 -

 

 

(9,304)

Distributions to noncontrolling investors in joint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ventures

 

 -

 

 

 -

 

 

 -

 

 

(75,583)

 

 

 -

 

 

(75,583)

Changes in intercompany balances with

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

affiliates, net

 

3,408 

 

 

274,075 

 

 

(124,384)

 

 

(153,099)

 

 

 -

 

 

 -

Borrowings under credit agreements

 

 -

 

 

1,170,000 

 

 

23,710 

 

 

865 

 

 

 -

 

 

1,194,575 

Issuance of long-term debt

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Proceeds from receivables facility

 

 -

 

 

 -

 

 

 -

 

 

338,000 

 

 

 -

 

 

338,000 

Repayments of long-term indebtedness

 

 -

 

 

(1,452,157)

 

 

(28,672)

 

 

(141,156)

 

 

 -

 

 

(1,621,985)

Net cash provided by (used in) financing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

activities

 

78,754 

 

 

(21,281)

 

 

(129,346)

 

 

(39,988)

 

 

 -

 

 

(111,861)

Net change in cash and cash equivalents

 

 -

 

 

 -

 

 

(33,223)

 

 

18,813 

 

 

 -

 

 

(14,410)

Cash and cash equivalents at beginning of period

 

 -

 

 

 -

 

 

271,559 

 

 

116,254 

 

 

 -

 

 

387,813 

Cash and cash equivalents at end of period

$

 -

 

$

 -

 

$

238,336 

 

$

135,067 

 

$

 -

 

$

373,403 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Statement of Cash Flows

Year Ended December 31, 2012

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent

 

 

 

 

Other  

 

Non - 

 

 

 

 

 

 

 

Guarantor

 

Issuer

 

Guarantors

 

Guarantors

 

Eliminations

 

Consolidated

 

(In thousands)

Net cash (used in) provided by operating

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

activities

$

(55,122)

 

$

(71,683)

 

$

1,156,708 

 

$

250,217 

 

$

 -

 

$

1,280,120 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Acquisitions of facilities and other related

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

equipment

 

 -

 

 

 -

 

 

(309,731)

 

 

(12,584)

 

 

 -

 

 

(322,315)

Purchases of property and equipment

 

 -

 

 

 -

 

 

(540,816)

 

 

(227,974)

 

 

 -

 

 

(768,790)

Proceeds from sale of property and equipment

 

 -

 

 

 -

 

 

2,756 

 

 

3,141 

 

 

 -

 

 

5,897 

Increase in other investments

 

 -

 

 

10,000 

 

 

(231,326)

 

 

(76,668)

 

 

 -

 

 

(297,994)

Net cash used in investing activities

 

 -

 

 

10,000 

 

 

(1,079,117)

 

 

(314,085)

 

 

 -

 

 

(1,383,202)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Proceeds from exercise of stock options

 

20,858 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

20,858 

Repurchase of restricted stock shares for payroll

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tax withholding requirements

 

(9,314)

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

(9,314)

Stock buy-back

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Deferred financing costs

 

 -

 

 

(141,219)

 

 

 -

 

 

 -

 

 

 -

 

 

(141,219)

Excess tax benefit relating to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

stock-based compensation

 

3,973 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

3,973 

Payment of special dividend to stockholders

 

(22,535)

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

(22,535)

Proceeds from noncontrolling investors in joint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ventures

 

 -

 

 

 -

 

 

 -

 

 

535 

 

 

 -

 

 

535 

Redemption of noncontrolling investments in joint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ventures

 

 -

 

 

 -

 

 

 -

 

 

(44,287)

 

 

 -

 

 

(44,287)

Distributions to noncontrolling investors in joint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ventures

 

 -

 

 

 -

 

 

 -

 

 

(68,344)

 

 

 -

 

 

(68,344)

Changes in intercompany balances with

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

affiliates, net

 

62,140 

 

 

(124,560)

 

 

189,076 

 

 

(126,656)

 

 

 -

 

 

 -

Borrowings under credit agreements

 

 -

 

 

3,955,000 

 

 

20,866 

 

 

 -

 

 

 -

 

 

3,975,866 

Issuance of long-term debt

 

 -

 

 

3,825,000 

 

 

 -

 

 

 -

 

 

 -

 

 

3,825,000 

Proceeds from receivables facility

 

 -

 

 

 -

 

 

 -

 

 

350,000 

 

 

 -

 

 

350,000 

Repayments of long-term indebtedness

 

 -

 

 

(7,452,538)

 

 

(24,894)

 

 

(52,071)

 

 

 -

 

 

(7,529,503)

Net cash provided by (used in) financing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

activities

 

55,122 

 

 

61,683 

 

 

185,048 

 

 

59,177 

 

 

 -

 

 

361,030 

Net change in cash and cash equivalents

 

 -

 

 

 -

 

 

262,639 

 

 

(4,691)

 

 

 -

 

 

257,948 

Cash and cash equivalents at beginning of period

 

 -

 

 

 -

 

 

8,920 

 

 

120,945 

 

 

 -

 

 

129,865 

Cash and cash equivalents at end of period

$

 -

 

$

 -

 

$

271,559 

 

$

116,254 

 

$

 -

 

$

387,813 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condensed Consolidating Statement of Cash Flows

Year Ended December 31, 2011

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent

 

 

 

 

Other  

 

Non - 

 

 

 

 

 

 

 

Guarantor

 

Issuer

 

Guarantors

 

Guarantors

 

Eliminations

 

Consolidated

 

(In thousands)

Net cash (used in) provided by operating

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

activities

$

(41,780)

 

$

(111,001)

 

$

918,947 

 

$

495,742 

 

$

 -

 

$

1,261,908 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Acquisitions of facilities and other related

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

equipment

 

 -

 

 

 -

 

 

(370,243)

 

 

(45,117)

 

 

 -

 

 

(415,360)

Purchases of property and equipment

 

 -

 

 

 -

 

 

(440,754)

 

 

(335,959)

 

 

 -

 

 

(776,713)

Proceeds from disposition of hospitals and other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ancillary operations

 

 -

 

 

 -

 

 

 -

 

 

173,387 

 

 

 -

 

 

173,387 

Proceeds from sale of property and equipment

 

 -

 

 

 -

 

 

2,283 

 

 

8,877 

 

 

 -

 

 

11,160 

Increase in other investments

 

 -

 

 

(10,000)

 

 

(129,852)

 

 

(48,397)

 

 

 -

 

 

(188,249)

Net cash used in investing activities

 

 -

 

 

(10,000)

 

 

(938,566)

 

 

(247,209)

 

 

 -

 

 

(1,195,775)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Proceeds from exercise of stock options

 

18,910 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

18,910 

Repurchase of restricted stock shares for payroll

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tax withholding requirements

 

(13,311)

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

(13,311)

Stock buy-back

 

(85,790)

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

(85,790)

Deferred financing costs

 

 -

 

 

(19,352)

 

 

 -

 

 

 -

 

 

 -

 

 

(19,352)

Excess tax benefit relating to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

stock-based compensation

 

5,290 

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

5,290 

Payment of special dividend to stockholders

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Proceeds from noncontrolling investors in joint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ventures

 

 -

 

 

 -

 

 

 -

 

 

1,229 

 

 

 -

 

 

1,229 

Redemption of noncontrolling investments in joint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ventures

 

 -

 

 

 -

 

 

 -

 

 

(13,022)

 

 

 -

 

 

(13,022)

Distributions to noncontrolling investors in joint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ventures

 

 -

 

 

 -

 

 

 -

 

 

(56,094)

 

 

 -

 

 

(56,094)

Changes in intercompany balances with

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

affiliates, net

 

116,681 

 

 

209,056 

 

 

(175,332)

 

 

(150,405)

 

 

 -

 

 

 -

Borrowings under credit agreements

 

 -

 

 

560,000 

 

 

18,236 

 

 

2,145 

 

 

(2,145)

 

 

578,236 

Issuance of long-term debt

 

 -

 

 

1,000,000 

 

 

 -

 

 

 -

 

 

 -

 

 

1,000,000 

Proceeds from receivables facility

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

 

 

 -

Repayments of long-term indebtedness

 

 -

 

 

(1,628,703)

 

 

(23,200)

 

 

(1,775)

 

 

2,145 

 

 

(1,651,533)

Net cash provided by (used in) financing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

activities

 

41,780 

 

 

121,001 

 

 

(180,296)

 

 

(217,922)

 

 

 -

 

 

(235,437)

Net change in cash and cash equivalents

 

 -

 

 

 -

 

 

(199,915)

 

 

30,611 

 

 

 -

 

 

(169,304)

Cash and cash equivalents at beginning of period

 

 -

 

 

 -

 

 

208,835 

 

 

90,334 

 

 

 -

 

 

299,169 

Cash and cash equivalents at end of period

$

 -

 

$

 -

 

$

8,920 

 

$

120,945 

 

$

 -

 

$

129,865