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v3.8.0.1

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2018 | Mar. 31, 2017
Cash flows from operating activities: |  |
Net income | $ 1,282 | $ 777
Increase (decrease) in cash from operating assets and liabilities: |  |
Accounts receivable | (4) | 168
Inventories and other assets | (218) | 3
Accounts payable and accrued expenses | (246) | (591)
Depreciation and amortization | 553 | 521
Income taxes | 246 | 292
Gains on sales of facilities | (405) | (1)
Amortization of debt issuance costs | 8 | 8
Share-based compensation | 60 | 73
Other | 24 | 30
Net cash provided by operating activities | 1,300 | 1,280
Cash flows from investing activities: |  |
Purchase of property and equipment | (694) | (571)
Acquisition of hospitals and health care entities | (379) | (90)
Disposal of hospitals and health care entities | 767 | 4
Change in investments | 11 | (19)
Other | (40) | 7
Net cash used in investing activities | (335) | (669)
Cash flows from financing activities: |  |
Net change in revolving bank credit facilities | 270 | 160
Repayment of long-term debt | (50) | (43)
Distributions to noncontrolling interests | (92) | (145)
Payment of debt issuance costs | (2) | (2)
Payment of cash dividends | (123) |
Repurchases of common stock | (423) | (424)
Other | (191) | (50)
Net cash used in financing activities | (611) | (504)
Change in cash and cash equivalents | 354 | 107
Cash and cash equivalents at beginning of period | 732 | 646
Cash and cash equivalents at end of period | 1,086 | 753
Interest payments | 549 | 540
Income tax payments (refunds), net | $ 11 | $ (3)

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