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v3.24.2

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2024 | Jun. 30, 2023
Cash flows from operating activities: |  |
Net income | $ 3,489 | $ 2,955
Increase (decrease) in cash from operating assets and liabilities: |  |
Accounts receivable | (285) | 306
Inventories and other assets | (68) | (301)
Accounts payable and accrued expenses | (459) | (505)
Depreciation and amortization | 1,614 | 1,519
Income taxes | (4) | 3
Losses (gains) on sales of facilities | (213) | 14
Amortization of debt issuance costs and discounts | 17 | 17
Share-based compensation | 199 | 133
Other | 150 | 137
Net cash provided by operating activities | 4,440 | 4,278
Cash flows from investing activities: |  |
Purchase of property and equipment | (2,399) | (2,438)
Acquisition of hospitals and health care entities | (131) | (124)
Sales of hospitals and health care entities | 311 | 172
Change in investments | (14) | (16)
Other | (2) | (2)
Net cash used in investing activities | (2,235) | (2,408)
Cash flows from financing activities: |  |
Issuance of long-term debt | 4,483 | 3,218
Net change in revolving credit facilities | (1,030) | (1,840)
Repayment of long-term debt | (2,269) | (608)
Distributions to noncontrolling interests | (338) | (342)
Payment of debt issuance costs | (40) | (30)
Payment of dividends | (356) | (339)
Repurchase of common stock | (2,547) | (1,761)
Other | (212) | (221)
Net cash used in financing activities | (2,309) | (1,923)
Effect of exchange rate changes on cash and cash equivalents | 0 | 7
Change in cash and cash equivalents | (104) | (46)
Cash and cash equivalents at beginning of period | 935 | 908
Cash and cash equivalents at end of period | 831 | 862
Interest payments | 943 | 925
Income tax payments, net | $ 999 | $ 773

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