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v3.25.2

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 6 Months Ended
--- | ---
Jun. 30, 2025 | Jun. 30, 2024
Cash flows from operating activities: |  |
Net income | $ 3,716 | $ 3,489
Increase (decrease) in cash from operating assets and liabilities: |  |
Accounts receivable | 320 | (285)
Inventories and other assets | (427) | (68)
Accounts payable and accrued expenses | (676) | (459)
Depreciation and amortization | 1,723 | 1,614
Income taxes | 880 | (4)
Losses (gains) on sales of facilities | 2 | (213)
Amortization of debt issuance costs and discounts | 25 | 17
Share-based compensation | 197 | 199
Other | 101 | 150
Net cash provided by operating activities | 5,861 | 4,440
Cash flows from investing activities: |  |
Purchase of property and equipment | (2,167) | (2,399)
Acquisition of hospitals and health care entities | (326) | (131)
Sales of hospitals and health care entities | 167 | 311
Change in investments | 41 | (14)
Other | 2 | (2)
Net cash used in investing activities | (2,283) | (2,235)
Cash flows from financing activities: |  |
Issuance of long-term debt | 5,233 | 4,483
Net change in short-term borrowings and revolving credit facilities | 1,768 | (1,030)
Repayment of long-term debt | (5,660) | (2,269)
Distributions to noncontrolling interests | (394) | (338)
Payment of debt issuance costs | (57) | (40)
Payment of dividends | (351) | (356)
Repurchase of common stock | (5,011) | (2,547)
Other | (112) | (212)
Net cash used in financing activities | (4,584) | (2,309)
Effect of exchange rate changes on cash and cash equivalents | 12 | 0
Change in cash and cash equivalents | (994) | (104)
Cash and cash equivalents at beginning of period | 1,933 | 935
Cash and cash equivalents at end of period | 939 | 831
Interest payments | 1,074 | 943
Income tax payments, net | $ 146 | $ 999

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