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v3.24.2

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2024 | Jun. 30, 2024 | Jun. 30, 2023
Cash flows from operating activities: |  |  |
Net income (loss) | $ 26 | $ 20 | $ (18)
Adjustments to reconcile net income (loss) to net cash provided by operating activities: |  |  |
Depreciation and amortization | 125 | 241 | 255
Deferred income taxes |  | (17) | 29
Stock-based compensation expense | 2 | 8 | 10
Impairment and (gain) loss on sale of businesses, net | 10 | 27 | (35)
Gain from early extinguishment of debt | (26) | (26) |
Other non-cash expenses, net |  | 94 | 88
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 |  | (23) | (73)
Accounts payable, accrued liabilities and income taxes |  | (88) | (130)
Other |  | (78) | (33)
Net cash provided by operating activities |  | 197 | 91
Cash flows from investing activities: |  |  |
Acquisitions of facilities and other related businesses |  | (1) | (15)
Purchases of property and equipment |  | (181) | (227)
Proceeds from disposition of hospitals and other ancillary operations |  |  | 111
Proceeds from sale of property and equipment |  | 4 | 24
Purchases of available-for-sale debt securities and equity securities |  | (23) | (99)
Proceeds from sales of available-for-sale debt securities and equity securities |  | 32 | 137
Purchases of investments in unconsolidated affiliates |  | (4) | (7)
Increase in other investments |  | (34) | (29)
Net cash used in investing activities |  | (207) | (105)
Cash flows from financing activities: |  |  |
Repurchase of restricted stock shares for payroll tax withholding requirements |  | (2) | (4)
Deferred financing costs and other debt-related costs |  | (9) |
Proceeds from noncontrolling investors in joint ventures |  | 1 | 3
Redemption of noncontrolling investments in joint ventures |  | (2) | (1)
Distributions to noncontrolling investors in joint ventures |  | (84) | (83)
Other borrowings |  | 18 | 29
Issuance of long-term debt |  | 1,296 |
Proceeds from ABL Facility |  | 1,906 | 1,527
Repayments of long-term indebtedness |  | (3,113) | (1,457)
Net cash provided by financing activities |  | 11 | 14
Net change in cash and cash equivalents |  | 1 |
Cash and cash equivalents at beginning of period |  | 38 | 118
Cash and cash equivalents at end of period | 39 | 39 | 118
Supplemental disclosure of cash flow information: |  |  |
Interest payments | (211) | (360) | (385)
Income tax payments, net | $ (84) | $ (84) | $ (37)

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