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v3.22.2.2

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2022 | Sep. 30, 2021
Cash flows from operating activities: |  |
Net (loss) income | $ (267) | $ 146
Adjustments to reconcile net (loss) income to net cash provided by operating activities: |  |
Depreciation and amortization | 398 | 408
Deferred income taxes | 290 | 123
Stock-based compensation expense | 14 | 18
Impairment and (gain) loss on sale of businesses, net | 54 | 24
(Gain) loss from early extinguishment of debt | (73) | 79
Gain on sale of equity interests in Macon Healthcare, LLC |  | (26)
Other non-cash expenses, net | 140 | 22
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures: |  |
Patient accounts receivable | 93 | (99)
Supplies, prepaid expenses and other current assets | (94) | 14
Repayment/derecognition of Medicare accelerated payments |  | (267)
Accounts payable, accrued liabilities and income taxes | (90) | 85
Other | (174) | (127)
Net cash provided by operating activities | 291 | 400
Cash flows from investing activities: |  |
Acquisitions of facilities and other related businesses | (9) | (3)
Purchases of property and equipment | (284) | (334)
Proceeds from disposition of hospitals and other ancillary operations | 3 | 17
Proceeds from sale of property and equipment | 30 | 7
Purchases of available-for-sale debt securities and equity securities | (73) | (135)
Proceeds from sales of available-for-sale debt securities and equity securities | 62 | 86
Proceeds from sale of equity interests in Macon Healthcare, LLC |  | 110
Distribution of CoreTrust proceeds | 121 |
Purchases of investments in unconsolidated affiliates | (18) | (4)
Increase in other investments | (39) | (57)
Net cash used in investing activities | (207) | (313)
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) | (310)
Proceeds from noncontrolling investors in joint ventures | 10 | 1
Redemption of noncontrolling investments in joint ventures | (2) | (5)
Distributions to noncontrolling investors in joint ventures | (105) | (95)
Other borrowings | 35 | 50
Issuance of long-term debt | 1,535 | 4,310
Repayments of long-term indebtedness | (1,683) | (4,415)
Net cash used in financing activities | (291) | (469)
Net change in cash and cash equivalents | (207) | (382)
Cash and cash equivalents at beginning of period | 507 | 1,676
Cash and cash equivalents at end of period | 300 | 1,294
Supplemental disclosure of cash flow information: |  |
Interest payments | (614) | (572)
Income tax payments, net | $ (6) | $ (3)

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