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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Cash Flows From Operating Activities    
Net loss $ (170,000,000) $ (564,000,000)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization of intangible assets 960,000,000 935,000,000
Amortization and write-off of debt premiums, discounts and issuance costs 41,000,000 51,000,000
Asset impairments 6,000,000 54,000,000
Goodwill impairments 0 402,000,000
Acquisition-related contingent consideration 19,000,000 40,000,000
Allowances for losses on trade receivable and inventories 43,000,000 43,000,000
Deferred income taxes (104,000,000) (33,000,000)
Net gain on sale of assets (10,000,000) (4,000,000)
Adjustments to accrued legal settlements 215,000,000 24,000,000
Payments of accrued legal settlements (222,000,000) (3,000,000)
Share-based compensation 107,000,000 103,000,000
Gain excluded from hedge effectiveness (10,000,000) (10,000,000)
Gain on extinguishment of debt (23,000,000) 0
Third party fees paid in connection with the 2022 Exchange 0 (2,000,000)
Payments of contingent consideration adjustments, including accretion (7,000,000) (4,000,000)
Amortization of interim contract and inventory step-up resulting from acquisitions 61,000,000 0
Foreign exchange and other (33,000,000) 22,000,000
Changes in operating assets and liabilities:    
Trade receivables (112,000,000) (176,000,000)
Inventories (218,000,000) (222,000,000)
Prepaid expenses and other current assets 120,000,000 (75,000,000)
Accounts payable, accrued and other liabilities 333,000,000 61,000,000
Net cash provided by operating activities 996,000,000 642,000,000
Cash Flows From Investing Activities    
Acquisitions and other investments (45,000,000) (1,887,000,000)
Purchases of property, plant and equipment (231,000,000) (117,000,000)
Acquisition of intangible assets and other assets (2,000,000) (11,000,000)
Purchases of marketable securities (7,000,000) (13,000,000)
Proceeds from sale of marketable securities 11,000,000 13,000,000
Proceeds from sale of assets and businesses, net of costs to sell 7,000,000 5,000,000
Interest settlements from cross-currency swaps 13,000,000 13,000,000
Net cash used in investing activities (254,000,000) (1,997,000,000)
Cash Flows From Financing Activities    
Issuance of long-term debt, net of discounts 155,000,000 3,145,000,000
Repayments of long-term debt (1,049,000,000) (1,507,000,000)
Payments of employee withholding taxes related to share-based awards (23,000,000) (23,000,000)
Payments of acquisition-related contingent consideration (20,000,000) (17,000,000)
Payments of financing costs (7,000,000) (36,000,000)
Other (9,000,000) (8,000,000)
Net cash (used in) provided by financing activities (953,000,000) 1,554,000,000
Effect of exchange rate changes on cash, cash equivalents and other (1,000,000) (10,000,000)
Net (decrease) increase in cash, cash equivalents, restricted cash and other settlement deposits (212,000,000) 189,000,000
Cash, cash equivalents, restricted cash and other settlement deposits, beginning of period 962,000,000 591,000,000
Cash, cash equivalents and restricted cash, end of period 750,000,000 780,000,000
Cash and cash equivalents 719,000,000 760,000,000
Restricted cash 31,000,000 20,000,000
Cash, cash equivalents and restricted cash, end of period $ 750,000,000 $ 780,000,000