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v3.22.2

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2022 | Jun. 30, 2021
Cash flows from operating activities: |  |
Net income | $ 2,844 | $ 3,244
Decrease in cash from operating assets and liabilities: |  |
Accounts receivable | (547) | (567)
Inventories and other assets | (462) | (213)
Accounts payable and accrued expenses | (818) | 49
Depreciation and amortization | 1,470 | 1,409
Income taxes | 121 | 2
Losses (gains) on sales of facilities | 22 | (10)
Losses on retirement of debt | 78 | 12
Amortization of debt issuance costs and discounts | 15 | 14
Share-based compensation | 171 | 226
Other | 81 | 73
Net cash provided by operating activities | 2,975 | 4,239
Cash flows from investing activities: |  |
Purchase of property and equipment | (1,941) | (1,496)
Acquisition of hospitals and health care entities | (116) | (98)
Sales of hospitals and health care entities | 20 | 30
Change in investments | (2) | (12)
Other | (11) | 7
Net cash used in investing activities | (2,050) | (1,569)
Cash flows from financing activities: |  |
Issuance of long-term debt | 5,966 | 4,337
Net change in revolving credit facilities | 930 | 800
Repayment of long-term debt | (2,690) | (3,731)
Distributions to noncontrolling interests | (333) | (357)
Payment of debt issuance costs | (53) | (32)
Payment of dividends | (337) | (325)
Repurchase of common stock | (4,783) | (3,814)
Other | (201) | (224)
Net cash used in financing activities | (1,501) | (3,346)
Effect of exchange rate changes on cash and cash equivalents | (17) | 3
Change in cash and cash equivalents | (593) | (673)
Cash and cash equivalents at beginning of period | 1,451 | 1,793
Cash and cash equivalents at end of period | 858 | 1,120
Interest payments | 777 | 755
Income tax payments, net | $ 609 | $ 844

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