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v3.25.1

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Cash flows from operating activities: |  |
Net income | $ 1,825 | $ 1,802
Increase (decrease) in cash from operating assets and liabilities: |  |
Accounts receivable | (327) | (90)
Inventories and other assets | (360) | 77
Accounts payable and accrued expenses | (1,000) | (517)
Depreciation and amortization | 860 | 795
Income taxes | 492 | 444
Gains on sales of facilities | (1) | (201)
Amortization of debt issuance costs and discounts | 11 | 9
Share-based compensation | 98 | 87
Other | 53 | 63
Net cash provided by operating activities | 1,651 | 2,469
Cash flows from investing activities: |  |
Purchase of property and equipment | (991) | (1,118)
Acquisition of hospitals and health care entities | (227) | (96)
Sales of hospitals and health care entities | 161 | 310
Change in investments | 28 | 2
Other | (3) | (1)
Net cash used in investing activities | (1,032) | (903)
Cash flows from financing activities: |  |
Issuance of long-term debt | 5,233 | 4,483
Net change in revolving credit facilities | 220 | (1,880)
Repayment of long-term debt | (3,895) | (2,066)
Distributions to noncontrolling interests | (220) | (152)
Payment of debt issuance costs | (57) | (40)
Payment of dividends | (180) | (185)
Repurchase of common stock | (2,506) | (1,180)
Other | (90) | (196)
Net cash used in financing activities | (1,495) | (1,216)
Effect of exchange rate changes on cash and cash equivalents | 3 | (1)
Change in cash and cash equivalents | (873) | 349
Cash and cash equivalents at beginning of period | 1,933 | 935
Cash and cash equivalents at end of period | 1,060 | 1,284
Interest payments | 539 | 538
Income tax payments, net | $ 10 | $ 1

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