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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Cash Flows From Operating Activities    
Net loss $ (78) $ (182)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization of intangible assets 638 634
Amortization and write-off of debt premiums, discounts and issuance costs 28 23
Asset impairments 6 50
Acquisition-related contingent consideration (6) 14
Allowances for losses on trade receivable and inventories 32 32
Deferred income taxes (101) (30)
Net (gain) loss on sale of assets (5) 1
Adjustments to accrued legal settlements 27 0
Payments of accrued legal settlements (4) (2)
Share-based compensation 69 74
Gain excluded from hedge effectiveness (6) (6)
Gain on extinguishment of debt (23) 0
Third party fees paid in connection with the 2022 Exchange 0 (2)
Payments of contingent consideration adjustments, including accretion (5) (3)
Amortization of interim contract and inventory step-up resulting from acquisitions 40 0
Foreign exchange and other (18) 21
Changes in operating assets and liabilities:    
Trade receivables (135) 55
Inventories (176) (160)
Prepaid expenses and other current assets 119 (54)
Accounts payable, accrued and other liabilities 189 (105)
Net cash provided by operating activities 591 360
Cash Flows From Investing Activities    
Acquisitions and other investments 0 (31)
Purchases of property, plant and equipment (160) (75)
Acquisition of intangible assets and other assets (2) (7)
Purchases of marketable securities (5) (11)
Proceeds from sale of marketable securities 7 9
Proceeds from sale of assets and businesses, net of costs to sell 2 1
Interest settlements from cross-currency swaps 6 6
Net cash used in investing activities (152) (108)
Cash Flows From Financing Activities    
Issuance of long-term debt, net of discounts 155 455
Repayments of long-term debt (885) (690)
Payments of employee withholding taxes related to share-based awards (18) (15)
Payments of acquisition-related contingent consideration (12) (11)
Payments of financing costs (4) (1)
Net cash used in financing activities (764) (262)
Effect of exchange rate changes on cash, cash equivalents and other (14) 7
Net decrease in cash, cash equivalents, restricted cash and other settlement deposits (339) (3)
Cash, cash equivalents, restricted cash and other settlement deposits, beginning of period 962 591
Cash, cash equivalents and restricted cash, end of period 623 588
Cash and cash equivalents 595 579
Restricted cash 28 9
Cash, cash equivalents and restricted cash, end of period $ 623 $ 588