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Held for Sale and Discontinued Operations (Tables)
12 Months Ended
Dec. 31, 2018
Reconciliation of Cash Flows The following table presents cash flows of discontinued operations related to DMG:
 
Year ended December 31,
 
2018
 
2017
 
2016
Net cash provided by operating activities from discontinued operations
$
290,684

 
$
357,274

 
$
287,044

Net cash used in investing activities from discontinued operations
$
(57,382
)
 
$
(232,329
)
 
$
(430,917
)
Summary of Information Related to Assets Held For Sale and Discontinued Operations The following table presents the financial results of discontinued operations related to DMG:
 
Year ended December 31,
 
2018
 
2017
 
2016
Net revenues
$
4,963,792

 
$
4,676,213

 
$
4,113,414

Expenses
4,962,686

 
4,634,782

 
3,994,624

Goodwill and other asset impairment charges
41,537

 
651,659

 
253,000

Valuation adjustment on disposal group
316,840

 

 

Loss from discontinued operations before taxes
(357,271
)
 
(610,228
)
 
(134,210
)
Income tax expense (benefit)
99,768

 
(364,856
)
 
24,052

Net loss from discontinued operations, net of tax
$
(457,038
)
 
$
(245,372
)
 
$
(158,262
)
The following table presents the financial position of discontinued operations related to DMG:
 
December 31, 2018
 
December 31, 2017
Assets
 

 
 

Cash and cash equivalents
$
414,683

 
$
179,668

Other current assets
557,403

 
826,608

Property and equipment, net
458,040

 
379,945

Intangible assets, net
1,316,974

 
1,316,550

Other long-term assets
112,127

 
178,894

Goodwill
2,847,178

 
2,879,977

Valuation allowance on disposal group
(316,840
)
 

Total current assets held for sale
$
5,389,565

 
$
5,761,642

Liabilities
 

 
 

Other liabilities
$
479,134

 
$
505,734

Medical payables
436,839

 
457,040

Current portion of long-term debt
3,122

 
2,845

Long-term debt
33,425

 
35,003

Other long-term liabilities
291,239

 
184,448

Total current liabilities held for sale
$
1,243,759

 
$
1,185,070