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Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2024 | Mar. 31, 2023
Cash flows from operating activities: |  |
Net loss | $ (6) | $ (20)
Adjustments to reconcile net loss to net cash provided by operating activities: |  |
Depreciation and amortization | 115 | 132
Deferred income taxes | (14) | 7
Stock-based compensation expense | 6 | 6
Impairment and (gain) loss on sale of businesses, net | 17 | (22)
Other non-cash expenses, net | 33 | 42
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures: |  |
Patient accounts receivable | 39 | (2)
Supplies, prepaid expenses and other current assets | (40) | (50)
Accounts payable, accrued liabilities and income taxes | (13) | (32)
Other | (41) | (56)
Net cash provided by operating activities | 96 | 5
Cash flows from investing activities: |  |
Acquisitions of facilities and other related businesses | (1) | (8)
Purchases of property and equipment | (93) | (122)
Proceeds from disposition of hospitals and other ancillary operations |  | 92
Proceeds from sale of property and equipment | 1 | 5
Purchases of available-for-sale debt securities and equity securities | (4) | (26)
Proceeds from sales of available-for-sale debt securities and equity securities | 12 | 61
Purchases of investments in unconsolidated affiliates | (4) | (5)
Increase in other investments | (10) | (16)
Net cash used in investing activities | (99) | (19)
Cash flows from financing activities: |  |
Repurchase of restricted stock shares for payroll tax withholding requirements | (2) | (4)
Proceeds from noncontrolling investors in joint ventures |  | 2
Redemption of noncontrolling investments in joint ventures |  | (1)
Distributions to noncontrolling investors in joint ventures | (50) | (44)
Other borrowings | 17 | 29
Proceeds from ABL Facility | 933 | 815
Repayments of long-term indebtedness | (885) | (757)
Net cash provided by financing activities | 13 | 40
Net change in cash and cash equivalents | 10 | 26
Cash and cash equivalents at beginning of period | 38 | 118
Cash and cash equivalents at end of period | 48 | 144
Supplemental disclosure of cash flow information: |  |
Interest payments | (149) | $ (197)
Income tax payments, net | $ 0 |

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