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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Cash Flows From Operating Activities    
Net loss $ (86) $ (77)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization of intangible assets 305 320
Amortization and write-off of debt premiums, discounts and issuance costs 15 14
Asset impairments 0 1
Acquisition-related contingent consideration (11) (2)
Allowances for losses on trade receivable and inventories 26 15
Deferred income taxes (9) (57)
Net gain on sale of assets 0 (4)
Adjustments to accrued legal settlements (3) 6
Payments of accrued legal settlements (19) (3)
Share-based compensation 43 33
Gain excluded from hedge effectiveness (3) (3)
Gain on extinguishment of debt 0 (11)
Payments of contingent consideration adjustments, including accretion (2) (2)
Amortization of interim contract and inventory step-up resulting from acquisitions 22 20
Foreign exchange and other (2) (4)
Changes in operating assets and liabilities:    
Trade receivables 110 (63)
Inventories (30) (144)
Prepaid expenses and other current assets (46) 121
Accounts payable, accrued and other liabilities (99) 51
Net cash provided by operating activities 211 211
Cash Flows From Investing Activities    
Acquisitions and other investments (12) 0
Purchases of property, plant and equipment (115) (82)
Acquisition of intangible assets and other assets (9) (1)
Purchases of marketable securities (4) (3)
Proceeds from sale of marketable securities 4 6
Proceeds from sale of assets and businesses, net of costs to sell 0 1
Interest settlements from cross-currency swaps 6 6
Net cash used in investing activities (130) (73)
Cash Flows From Financing Activities    
Issuance of long-term debt, net of discounts 50 75
Repayments of long-term debt (168) (390)
Payments of employee withholding taxes related to share-based awards (16) (14)
Payments of acquisition-related contingent consideration (7) (7)
Payments of financing costs (5) (4)
Net cash used in financing activities (146) (340)
Effect of exchange rate changes on cash, cash equivalents and restricted cash 21 (5)
Net decrease in cash, cash equivalents and restricted cash (44) (207)
Cash, cash equivalents and restricted cash, beginning of period 1,201 962
Cash, cash equivalents and restricted cash, end of period 1,157 755
Cash and cash equivalents 1,134 733
Restricted cash 23 22
Cash, cash equivalents and restricted cash, end of period $ 1,157 $ 755