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v3.7.0.1

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2017 | Jun. 30, 2016
Cash flows from operating activities: |  |
Net income | $ 1,572 | $ 1,602
Increase (decrease) in cash from operating assets and liabilities: |  |
Accounts receivable | (1,752) | (1,364)
Provision for doubtful accounts | 1,833 | 1,552
Accounts receivable, net | 81 | 188
Inventories and other assets | (178) | (176)
Accounts payable and accrued expenses | (298) | (102)
Depreciation and amortization | 1,042 | 968
Income taxes | 267 | 67
Gains on sales of facilities | (3) | (5)
Legal claim costs |  | 22
Amortization of debt issuance costs | 16 | 18
Share-based compensation | 140 | 129
Other | 45 | 37
Net cash provided by (used in) operating activities | 2,684 | 2,748
Cash flows from investing activities: |  |
Purchase of property and equipment | (1,304) | (1,172)
Acquisition of hospitals and health care entities | (295) | (430)
Disposal of hospitals and health care entities | 14 | 14
Change in investments | (11) | 18
Other | 5 | 15
Net cash used in investing activities | (1,591) | (1,555)
Cash flows from financing activities: |  |
Issuances of long-term debt | 1,502 | 3,000
Net change in revolving bank credit facilities | (1,160) |
Repayment of long-term debt | (95) | (2,065)
Distributions to noncontrolling interests | (248) | (205)
Payment of debt issuance costs | (25) | (24)
Repurchases of common stock | (966) | (1,858)
Other | (42) | (91)
Net cash (used in) provided by financing activities | (1,034) | (1,243)
Change in cash and cash equivalents | 59 | (50)
Cash and cash equivalents at beginning of period | 646 | 741
Cash and cash equivalents at end of period | 705 | 691
Interest payments | 834 | 767
Income tax payments, net | $ 387 | $ 558

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- Definition The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3602-108585 + Details
Name: | us-gaap_ShareBasedCompensation
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration