Ramsay Generale de Sante SA
PAR:GDS
Cash Flow Statement
Cash Flow Statement
Ramsay Generale de Sante SA
| Dec-2002 | Jun-2003 | Dec-2003 | Jun-2004 | Dec-2004 | Jun-2005 | Dec-2005 | Jun-2006 | Sep-2006 | Dec-2006 | Mar-2007 | Jun-2007 | Sep-2007 | Dec-2007 | Mar-2008 | Jun-2008 | Sep-2008 | Dec-2008 | Mar-2009 | Jun-2009 | Sep-2009 | Dec-2009 | Mar-2010 | Jun-2010 | Sep-2010 | Dec-2010 | Mar-2011 | Jun-2011 | Sep-2011 | Dec-2011 | Mar-2012 | Jun-2012 | Sep-2012 | Dec-2012 | Mar-2013 | Jun-2013 | Sep-2013 | Dec-2013 | Mar-2014 | Jun-2014 | Sep-2014 | Dec-2014 | Dec-2015 | Jun-2016 | Dec-2016 | Jun-2017 | Dec-2017 | Jun-2018 | Dec-2018 | Jun-2019 | Dec-2019 | Jun-2020 | Dec-2020 | Jun-2021 | Dec-2021 | Jun-2022 | Dec-2022 | Jun-2023 | Dec-2023 | Mar-2024 | Jun-2024 | Sep-2024 | Dec-2024 | Mar-2025 | Jun-2025 | Sep-2025 | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Operating Cash Flow | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net Income |
47
|
66
|
50
|
30
|
60
|
30
|
43
|
63
|
225
|
229
|
256
|
218
|
52
|
49
|
40
|
39
|
92
|
90
|
86
|
89
|
30
|
45
|
79
|
81
|
77
|
38
|
(1)
|
(8)
|
(4)
|
(26)
|
(13)
|
(11)
|
14
|
59
|
59
|
58
|
44
|
115
|
118
|
115
|
112
|
23
|
15
|
42
|
55
|
65
|
18
|
15
|
36
|
15
|
16
|
18
|
67
|
74
|
86
|
128
|
113
|
64
|
3
|
8
|
(37)
|
0
|
(63)
|
0
|
(38)
|
0
|
|
| Depreciation & Amortization |
69
|
69
|
65
|
73
|
69
|
78
|
81
|
88
|
112
|
91
|
117
|
98
|
101
|
108
|
110
|
112
|
114
|
115
|
116
|
118
|
120
|
121
|
121
|
119
|
118
|
120
|
123
|
126
|
127
|
124
|
123
|
123
|
124
|
125
|
124
|
123
|
122
|
121
|
118
|
114
|
112
|
110
|
64
|
131
|
134
|
133
|
133
|
130
|
138
|
174
|
279
|
362
|
369
|
372
|
373
|
377
|
391
|
403
|
410
|
511
|
427
|
0
|
439
|
0
|
434
|
0
|
|
| Stock-Based Compensation |
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
1
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
| Other Non-Cash Items |
19
|
(8)
|
(3)
|
27
|
9
|
50
|
57
|
69
|
(116)
|
(107)
|
(85)
|
(116)
|
57
|
63
|
70
|
76
|
39
|
19
|
13
|
8
|
66
|
45
|
33
|
33
|
34
|
60
|
82
|
78
|
81
|
108
|
97
|
102
|
70
|
32
|
33
|
32
|
49
|
(26)
|
(29)
|
(36)
|
(35)
|
61
|
30
|
88
|
79
|
58
|
83
|
90
|
67
|
88
|
122
|
106
|
113
|
170
|
186
|
146
|
151
|
140
|
129
|
179
|
194
|
181
|
213
|
27
|
203
|
202
|
|
| Cash Taxes Paid |
10
|
7
|
6
|
9
|
11
|
16
|
19
|
50
|
61
|
62
|
65
|
55
|
50
|
42
|
40
|
4
|
2
|
4
|
5
|
26
|
22
|
35
|
32
|
26
|
42
|
29
|
30
|
26
|
23
|
24
|
23
|
25
|
0
|
36
|
44
|
53
|
64
|
29
|
29
|
20
|
11
|
23
|
5
|
18
|
14
|
24
|
38
|
26
|
22
|
28
|
40
|
40
|
29
|
21
|
20
|
42
|
48
|
34
|
14
|
16
|
1
|
0
|
14
|
0
|
18
|
0
|
|
| Cash Interest Paid |
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
59
|
66
|
130
|
127
|
124
|
121
|
124
|
133
|
156
|
187
|
236
|
199
|
0
|
203
|
0
|
189
|
0
|
|
| Change in Working Capital |
(36)
|
(8)
|
(14)
|
(24)
|
(44)
|
(49)
|
(25)
|
(36)
|
(11)
|
(61)
|
(99)
|
(6)
|
(64)
|
(40)
|
(52)
|
(26)
|
27
|
30
|
42
|
(19)
|
(39)
|
(76)
|
(67)
|
(46)
|
(58)
|
(10)
|
(30)
|
(21)
|
(17)
|
(33)
|
(14)
|
1
|
(22)
|
(9)
|
(20)
|
(55)
|
(52)
|
(59)
|
(56)
|
(55)
|
(10)
|
(34)
|
(57)
|
(65)
|
(8)
|
(47)
|
(27)
|
(21)
|
(59)
|
(64)
|
(109)
|
243
|
551
|
37
|
(512)
|
(389)
|
(233)
|
(8)
|
22
|
49
|
3
|
(121)
|
19
|
(22)
|
95
|
77
|
|
| Cash from Operating Activities |
99
N/A
|
119
+20%
|
98
-17%
|
106
+8%
|
93
-12%
|
108
+16%
|
155
+43%
|
184
+19%
|
210
+14%
|
153
-27%
|
188
+23%
|
193
+2%
|
146
-24%
|
180
+23%
|
168
-7%
|
202
+20%
|
273
+35%
|
253
-7%
|
256
+1%
|
196
-23%
|
176
-10%
|
136
-23%
|
167
+22%
|
188
+13%
|
170
-9%
|
207
+22%
|
174
-16%
|
175
+1%
|
186
+7%
|
172
-8%
|
192
+12%
|
215
+12%
|
185
-14%
|
207
+12%
|
196
-5%
|
158
-19%
|
163
+3%
|
151
-7%
|
151
0%
|
139
-8%
|
179
+29%
|
159
-11%
|
51
-68%
|
196
+281%
|
261
+33%
|
209
-20%
|
206
-2%
|
214
+4%
|
181
-15%
|
214
+18%
|
308
+44%
|
730
+137%
|
1 099
+51%
|
652
-41%
|
133
-80%
|
263
+97%
|
422
+61%
|
599
+42%
|
565
-6%
|
747
+32%
|
587
-21%
|
556
-5%
|
608
+9%
|
537
-12%
|
694
+29%
|
681
-2%
|
|
| Investing Cash Flow | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Capital Expenditures |
(41)
|
(54)
|
(71)
|
(48)
|
(71)
|
(97)
|
(126)
|
(181)
|
(234)
|
(221)
|
(240)
|
(215)
|
(175)
|
(163)
|
(173)
|
(119)
|
(139)
|
(132)
|
(134)
|
(124)
|
(124)
|
(104)
|
(101)
|
(108)
|
(108)
|
(78)
|
(65)
|
(48)
|
(45)
|
(61)
|
(69)
|
(67)
|
(58)
|
(55)
|
(58)
|
(69)
|
(65)
|
(67)
|
(61)
|
(54)
|
(58)
|
(63)
|
(53)
|
(109)
|
(106)
|
(102)
|
(74)
|
(63)
|
(127)
|
(178)
|
(192)
|
(169)
|
(166)
|
(176)
|
(188)
|
(194)
|
(177)
|
(172)
|
(167)
|
(207)
|
(169)
|
0
|
(168)
|
0
|
(143)
|
0
|
|
| Other Items |
(39)
|
(14)
|
(2)
|
(30)
|
1
|
(56)
|
(132)
|
(603)
|
(149)
|
(121)
|
(152)
|
376
|
(116)
|
(98)
|
(69)
|
(58)
|
155
|
172
|
170
|
185
|
6
|
130
|
185
|
192
|
194
|
71
|
19
|
40
|
42
|
48
|
43
|
18
|
66
|
44
|
49
|
54
|
121
|
190
|
190
|
187
|
70
|
1
|
(101)
|
(109)
|
24
|
43
|
(4)
|
(13)
|
(789)
|
(737)
|
41
|
(18)
|
2
|
(5)
|
(35)
|
(278)
|
(260)
|
(3)
|
(7)
|
(11)
|
(12)
|
0
|
3
|
0
|
4
|
0
|
|
| Cash from Investing Activities |
(80)
N/A
|
(68)
+14%
|
(73)
-6%
|
(78)
-8%
|
(70)
+10%
|
(153)
-117%
|
(258)
-69%
|
(784)
-204%
|
(383)
+51%
|
(343)
+11%
|
(392)
-14%
|
161
N/A
|
(291)
N/A
|
(261)
+10%
|
(242)
+7%
|
(177)
+27%
|
16
N/A
|
40
+150%
|
36
-9%
|
61
+69%
|
(118)
N/A
|
26
N/A
|
84
+225%
|
83
-1%
|
85
+2%
|
(8)
N/A
|
(47)
-504%
|
(8)
+82%
|
(3)
+70%
|
(12)
-392%
|
(27)
-119%
|
(49)
-83%
|
8
N/A
|
(12)
N/A
|
(9)
+22%
|
(16)
-70%
|
56
N/A
|
122
+117%
|
129
+5%
|
132
+3%
|
13
-90%
|
(62)
N/A
|
(154)
-149%
|
(218)
-42%
|
(83)
+62%
|
(59)
+29%
|
(78)
-32%
|
(75)
+3%
|
(916)
-1 115%
|
(915)
+0%
|
(150)
+84%
|
(186)
-24%
|
(164)
+12%
|
(181)
-11%
|
(223)
-23%
|
(471)
-111%
|
(437)
+7%
|
(175)
+60%
|
(173)
+1%
|
(218)
-25%
|
(181)
+17%
|
(214)
-18%
|
(165)
+23%
|
(158)
+4%
|
(138)
+13%
|
(148)
-7%
|
|
| Financing Cash Flow | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net Issuance of Common Stock |
(0)
|
0
|
0
|
(0)
|
0
|
0
|
1
|
293
|
293
|
295
|
321
|
28
|
28
|
26
|
(0)
|
0
|
0
|
12
|
12
|
12
|
13
|
1
|
1
|
1
|
0
|
0
|
2
|
2
|
2
|
2
|
0
|
0
|
0
|
0
|
0
|
(4)
|
(4)
|
(4)
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
558
|
0
|
0
|
0
|
0
|
0
|
0
|
1
|
1
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
| Net Issuance of Debt |
(43)
|
(50)
|
(3)
|
5
|
31
|
50
|
66
|
356
|
(49)
|
(138)
|
(131)
|
(538)
|
(146)
|
578
|
582
|
691
|
559
|
(173)
|
(150)
|
(129)
|
17
|
(35)
|
(166)
|
(208)
|
(151)
|
(122)
|
(37)
|
(69)
|
(90)
|
(39)
|
(67)
|
(47)
|
(87)
|
(101)
|
(76)
|
(92)
|
(99)
|
(206)
|
(214)
|
(192)
|
(177)
|
266
|
75
|
61
|
(29)
|
(38)
|
(75)
|
40
|
895
|
283
|
(660)
|
(240)
|
(207)
|
(253)
|
(177)
|
(125)
|
(7)
|
(33)
|
(255)
|
(317)
|
(216)
|
0
|
(264)
|
0
|
(337)
|
0
|
|
| Cash Paid for Dividends |
0
|
0
|
0
|
0
|
0
|
0
|
(12)
|
(31)
|
(31)
|
(19)
|
(19)
|
(19)
|
(19)
|
(19)
|
(19)
|
(27)
|
(27)
|
(27)
|
(27)
|
(69)
|
(69)
|
(69)
|
(69)
|
0
|
(70)
|
(70)
|
(70)
|
0
|
(56)
|
(56)
|
(56)
|
(56)
|
(42)
|
(42)
|
(42)
|
0
|
(42)
|
(42)
|
0
|
0
|
(42)
|
(182)
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|
| Other |
(2)
|
(1)
|
(13)
|
(24)
|
(12)
|
(33)
|
(21)
|
(18)
|
(27)
|
(29)
|
(32)
|
(20)
|
(17)
|
(477)
|
(491)
|
(505)
|
(521)
|
(76)
|
(74)
|
(69)
|
(61)
|
(57)
|
(53)
|
(51)
|
(49)
|
(48)
|
(49)
|
(49)
|
(48)
|
(48)
|
(44)
|
(41)
|
(39)
|
(36)
|
(35)
|
(34)
|
(33)
|
(34)
|
(32)
|
(32)
|
(31)
|
(58)
|
(23)
|
(46)
|
(45)
|
(45)
|
(47)
|
(51)
|
(67)
|
(77)
|
(103)
|
(137)
|
(134)
|
(137)
|
(137)
|
(139)
|
(155)
|
(164)
|
(177)
|
(224)
|
(185)
|
0
|
(207)
|
0
|
(214)
|
0
|
|
| Cash from Financing Activities |
(45)
N/A
|
(51)
-13%
|
(16)
+69%
|
(19)
-21%
|
20
N/A
|
7
-67%
|
33
+400%
|
600
+1 719%
|
187
-69%
|
109
-41%
|
139
+27%
|
(549)
N/A
|
(154)
+72%
|
108
N/A
|
71
-34%
|
159
+124%
|
11
-93%
|
(265)
N/A
|
(239)
+10%
|
(255)
-7%
|
(100)
+61%
|
(160)
-60%
|
(288)
-80%
|
(258)
+10%
|
(270)
-5%
|
(240)
+11%
|
(153)
+36%
|
(185)
-21%
|
(193)
-4%
|
(140)
+27%
|
(168)
-19%
|
(145)
+14%
|
(169)
-17%
|
(180)
-6%
|
(153)
+15%
|
(173)
-13%
|
(178)
-3%
|
(287)
-61%
|
(293)
-2%
|
(266)
+9%
|
(250)
+6%
|
27
N/A
|
51
+92%
|
15
-71%
|
(74)
N/A
|
(83)
-11%
|
(122)
-47%
|
(11)
+91%
|
828
N/A
|
763
-8%
|
(205)
N/A
|
(377)
-84%
|
(341)
+10%
|
(391)
-15%
|
(314)
+20%
|
(264)
+16%
|
(161)
+39%
|
(197)
-22%
|
(432)
-119%
|
(540)
-25%
|
(402)
+26%
|
(588)
-46%
|
(470)
+20%
|
(483)
-3%
|
(550)
-14%
|
(441)
+20%
|
|
| Change in Cash | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Effect of Foreign Exchange Rates |
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
1
|
(1)
|
(0)
|
4
|
(8)
|
(10)
|
(1)
|
(3)
|
(12)
|
(7)
|
9
|
6
|
2
|
3
|
(4)
|
3
|
2
|
1
|
|
| Net Change in Cash |
(26)
N/A
|
(1)
+98%
|
9
N/A
|
9
-9%
|
43
+395%
|
(38)
N/A
|
(70)
-83%
|
(0)
+100%
|
14
N/A
|
(81)
N/A
|
(65)
+19%
|
(195)
-199%
|
(299)
-53%
|
26
N/A
|
(3)
N/A
|
183
N/A
|
300
+64%
|
29
-90%
|
54
+88%
|
3
-95%
|
(42)
N/A
|
2
N/A
|
(37)
N/A
|
13
N/A
|
(15)
N/A
|
(40)
-178%
|
(25)
+37%
|
(19)
+27%
|
(9)
+51%
|
20
N/A
|
(2)
N/A
|
22
N/A
|
24
+13%
|
15
-37%
|
34
+119%
|
(30)
N/A
|
41
N/A
|
(13)
N/A
|
(14)
-7%
|
5
N/A
|
(59)
N/A
|
124
N/A
|
(51)
N/A
|
(7)
+86%
|
104
N/A
|
68
-35%
|
7
-90%
|
127
+1 799%
|
94
-26%
|
61
-36%
|
(48)
N/A
|
170
N/A
|
587
+245%
|
70
-88%
|
(405)
N/A
|
(476)
-18%
|
(187)
+61%
|
220
N/A
|
(32)
N/A
|
(5)
+84%
|
7
N/A
|
(242)
N/A
|
(31)
+87%
|
(101)
-229%
|
8
N/A
|
92
+1 131%
|
|
| Free Cash Flow | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Free Cash Flow |
58
N/A
|
65
+12%
|
27
-58%
|
58
+115%
|
22
-62%
|
11
-51%
|
29
+167%
|
3
-91%
|
(24)
N/A
|
(69)
-181%
|
(52)
+25%
|
(22)
+57%
|
(29)
-30%
|
16
N/A
|
(6)
N/A
|
82
N/A
|
133
+62%
|
122
-9%
|
123
+1%
|
72
-41%
|
52
-28%
|
32
-39%
|
66
+105%
|
80
+21%
|
62
-22%
|
129
+107%
|
109
-16%
|
126
+16%
|
142
+12%
|
112
-21%
|
123
+10%
|
148
+21%
|
127
-14%
|
151
+19%
|
138
-9%
|
89
-36%
|
98
+10%
|
84
-14%
|
90
+7%
|
84
-6%
|
121
+43%
|
97
-20%
|
(2)
N/A
|
87
N/A
|
155
+78%
|
107
-31%
|
132
+23%
|
151
+15%
|
54
-64%
|
36
-35%
|
116
+226%
|
561
+384%
|
933
+66%
|
476
-49%
|
(55)
N/A
|
69
N/A
|
246
+257%
|
427
+74%
|
398
-7%
|
540
+36%
|
418
-23%
|
556
+33%
|
440
-21%
|
537
+22%
|
551
+3%
|
681
+24%
|
|