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v3.23.3

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2023 | Sep. 30, 2022
Cash flows from operating activities: |  |
Net loss | $ (70) | $ (267)
Adjustments to reconcile net loss to net cash provided by operating activities: |  |
Depreciation and amortization | 384 | 398
Deferred income taxes | 22 | 290
Stock-based compensation expense | 16 | 14
Impairment and (gain) loss on sale of businesses, net | (9) | 54
Loss (gain) from early extinguishment of debt |  | (73)
Other non-cash expenses, net | 132 | 140
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures: |  |
Patient accounts receivable | (119) | 93
Supplies, prepaid expenses and other current assets | (100) | (94)
Accounts payable, accrued liabilities and income taxes | (69) | (90)
Other | (67) | (174)
Net cash provided by operating activities | 120 | 291
Cash flows from investing activities: |  |
Acquisitions of facilities and other related businesses | (35) | (9)
Purchases of property and equipment | (357) | (284)
Proceeds from disposition of hospitals and other ancillary operations | 123 | 3
Proceeds from sale of property and equipment | 27 | 30
Purchases of available-for-sale debt securities and equity securities | (126) | (73)
Proceeds from sales of available-for-sale debt securities and equity securities | 221 | 62
Distribution of CoreTrust proceeds |  | 121
Purchases of investments in unconsolidated affiliates | (8) | (18)
Increase in other investments | (51) | (39)
Net cash used in investing activities | (206) | (207)
Cash flows from financing activities: |  |
Repurchase of restricted stock shares for payroll tax withholding requirements | (4) | (8)
Deferred financing costs and other debt-related costs |  | (73)
Proceeds from noncontrolling investors in joint ventures | 4 | 10
Redemption of noncontrolling investments in joint ventures | (1) | (2)
Distributions to noncontrolling investors in joint ventures | (108) | (105)
Other borrowings | 30 | 35
Issuance of long-term debt |  | 1,535
Proceeds from ABL Facility | 2,290 |
Repayments of long-term indebtedness | (2,152) | (1,683)
Net cash provided by (used in) financing activities | 59 | (291)
Net change in cash and cash equivalents | (27) | (207)
Cash and cash equivalents at beginning of period | 118 | 507
Cash and cash equivalents at end of period | 91 | 300
Supplemental disclosure of cash flow information: |  |
Interest payments | (583) | (614)
Income tax payments, net | $ (61) | $ (6)

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