Northwell Health, Inc.Consolidated Statements of Cash FlowsFor the Three Months Ended March 31, 2016 and 2015 (In Thousands)(Unaudited) (Unaudited)2016 2015Cash flows from operating activitiesIncrease in net assets $ 82,170 $ 335,810Adjustments to reconcile increase in net assets to net cashprovided by operating activities:Contributions received in the acquisitions of Peconic Bay Medical Center (2016), Phelps Memorial Hospital (2015) and Northern Westchester Hospital (2015) (40,818) (294,868)Permanently restricted contributions (330) (3,579)Depreciation and amortization 101,419 98,213Net realized gains and losses, change in net unrealized gains and losses and change in value of equity method investments (16,222) (42,566)Change in fair value of interest rate swap agreements (173) (239)Changes in operating assets and liabilities:Accounts receivable for services to patients, net (52,997) (28,049)Accounts receivable for physician activities, net 917 2,702Pledges receivable 1,927 6,868Current portion of estimated payable to third party-payers (2,070) 8,262Accrued retirement benefits, net of current portion 1,055 (16,830)Malpractice and other insurance liabilities 9,167 27,798Net change in all other operating assets and liabilities 34,388 (35,757)Net cash provided by operating activities 118,433 57,765Cash flows from investing activitiesCapital expenditures (136,196) (176,055)Net cash (invested in) proceeds from sale of marketable securities and otherinvestments and assets limited as to use (19,130) 47,884Cash received in the acquisitions of Peconic Bay Medical Center, Phelps MemorialHospital and Northern Westchester Hospital 19,100 74,832Payments for joint venture investments, net (10,463) (6,915)Net cash used in investing activities (146,689) (60,254)Cash flows from financing activitiesPrincipal payments on long-term debt and capital lease obligations (3,520) (6,615)Payments on short-term borrowings - (55,000)Principal payments on third-party payer structured liabilities (2,287) (998)Proceeds from short-term borrowings - 55,000Net proceeds received from real estate financing transactions - 140,721Proceeds from permanently restricted contributions 104 1,809Net cash (used in) provided by financing activities (5,703) 134,917Net (decrease) increase in cash and cash equivalents (33,959) 132,428Cash and cash equivalents, beginning of period 432,829 194,570Cash and cash equivalents, end of period $ 398,870 $ 326,998Supplemental disclosure of cash flow informationCash paid during the period for interest (exclusive of amount capitalized) $ 5,907 $ 3,079See accompanying notes. 4Northwell Health, Inc.Consolidating Statement of Financial PositionMarch 31, 2016 (Unaudited and In Thousands)Phelps Northern North ShoreNorthwellMemorial Westchester The Feinstein Long Island OtherNorthwell Health Hospital Hospital Hospice Institute for Northwell Jewish Health Regional Health Endoscopy NorthwellHealth, Inc. Obligated Association Association Peconic Bay The Long Care Medical Health System Insurance Dolan Family Insurance Center of Garden City South Shore HealthTotal Eliminations Group and Subsidiaries and Subsidiaries Medical Center Island Home Network, Inc. Research Foundation, Inc. Laboratories Company Health Ce

how to explain the numbers in this statement of cash flows