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v3.22.1

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2022 | Mar. 31, 2021
Cash flows from operating activities: |  |
Net income (loss) | $ 30 | $ (35)
Adjustments to reconcile net income (loss) to net cash provided by operating activities: |  |
Depreciation and amortization | 128 | 138
Deferred income taxes | 22 | 68
Stock-based compensation expense | 5 | 8
Impairment and (gain) loss on sale of businesses, net | 6 | 21
Loss from early extinguishment of debt | 5 | 71
Other non-cash expenses, net | 45 | (40)
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures: |  |
Patient accounts receivable | (17) | (34)
Supplies, prepaid expenses and other current assets | (40) | (2)
Repayment/derecognition of Medicare accelerated payments | 0 | (18)
Accounts payable, accrued liabilities and income taxes | (23) | (23)
Other | (60) | (53)
Net cash provided by operating activities | 101 | 101
Cash flows from investing activities: |  |
Acquisitions of facilities and other related businesses | (1) | (4)
Purchases of property and equipment | (97) | (105)
Proceeds from disposition of hospitals and other ancillary operations | 2 | 6
Proceeds from sale of property and equipment | 0 | 2
Purchases of available-for-sale debt securities and equity securities | (31) | (22)
Proceeds from sales of available-for-sale debt securities and equity securities | 24 | 26
Purchases of investments in unconsolidated affiliates | (4) | 0
Increase in other investments | (14) | (23)
Net cash used in investing activities | (121) | (120)
Cash flows from financing activities: |  |
Repurchase of restricted stock shares for payroll tax withholding requirements | (8) | (5)
Deferred financing costs and other debt-related costs | (73) | (220)
Proceeds from noncontrolling investors in joint ventures | 1 | 0
Distributions to noncontrolling investors in joint ventures | (29) | (21)
Other borrowings | 27 | 3
Issuance of long-term debt | 1,535 | 2,870
Repayments of long-term indebtedness | (1,480) | (3,033)
Net cash used in financing activities | (27) | (406)
Net change in cash and cash equivalents | (47) | (425)
Cash and cash equivalents at beginning of period | 507 | 1,676
Cash and cash equivalents at end of period | 460 | 1,251
Supplemental disclosure of cash flow information: |  |
Interest payments | (242) | (203)
Income tax payments, net | $ (2) | $ 0

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