119 CASH FLOW STATEMENT Notes 2009 2008 million million Earnings before taxes 158.7 142.9 Financial result (net) 6.8 22.6 25.0 Depreciation/amortisation/impairment and gains/losses on disposal of assets 6.5 102.0 91.2 Non-cash valuations of financial derivatives 7.18 0.7 4.2 Other non-cash transactions 7.1 4.0 0.0 288.0 263.3 Change in net working capital Change in inventories 7.6 ­3.1 ­1.4 Change in accounts receivable 7.7 ­17.4 ­4.8 Change in other receivables 7.7 4.1 21.3 Change in liabilities (excluding financial liabilities) 7.15 ­3.5 ­27.0 Change in provisions 7.14 1.1 0.0 Income taxes paid 6.9 ­29.7 ­31.8 Interest paid ­27.0 ­32.6 Cash generated from operating activities 212.5 187.0 Investments in property, plant and equipment and in intangible assets 7.2 ­285.9 ­268.3 Purchase of securities 0.0 0.0 Sale of securities 0.0 9.5 Acquisition of subsidiaries, net of cash acquired 4 ­128.8 ­5.6 Sale of subsidiaries, net of cash disposed 0.0 ­0.1 Sale proceeds from disposal of assets 3.2 2.1 Interest received 4.8 7.6 Cash used in investing activities ­406.7 ­254.8 Proceeds from issuing long-term debt 7.11 195.0 160.0 Repayment of debt principal 7.11 ­63.2 ­147.8 Contributions from RHÖN-KLINIKUM AG shareholders 444.8 0.0 Dividend payments to shareholders of RHÖN-KLINIKUM AG 7.10 ­36.3 ­29.0 Dividends paid to minority owners 7.10 ­2.4 ­3.2 Cash used/generated in financing activities 537.9 ­20.0 Change in cash and cash equivalents 7.9 343.7 ­87.8 Cash and cash equivalents at 1 January 76.9 164.7 Cash and cash equivalents at 31 December 420.6 76.9 CONSOLIDATED FINANCIAL STATEMENTS
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