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v3.24.3

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2024 | Sep. 30, 2023
Cash flows from operating activities: |  |
Net loss | $ (334) | $ (70)
Adjustments to reconcile net loss to net cash provided by operating activities: |  |
Depreciation and amortization | 357 | 384
Deferred income taxes | (129) | 22
Stock-based compensation expense | 12 | 16
Impairment and (gain) loss on sale of businesses, net | 294 | (9)
Gain from early extinguishment of debt | (25) |
Other non-cash expenses, net | 142 | 132
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures: |  |
Patient accounts receivable | 126 | (119)
Supplies, prepaid expenses and other current assets | (48) | (100)
Accounts payable, accrued liabilities and income taxes | (119) | (69)
Other | (12) | (67)
Net cash provided by operating activities | 264 | 120
Cash flows from investing activities: |  |
Acquisitions of facilities and other related businesses | (1) | (35)
Purchases of property and equipment | (251) | (357)
Proceeds from disposition of hospitals and other ancillary operations | 174 | 123
Proceeds from sale of property and equipment | 5 | 27
Purchases of available-for-sale debt securities and equity securities | (54) | (126)
Proceeds from sales of available-for-sale debt securities and equity securities | 54 | 221
Purchases of investments in unconsolidated affiliates | (4) | (8)
Increase in other investments | (55) | (51)
Net cash used in investing activities | (132) | (206)
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 | (8) |
Proceeds from noncontrolling investors in joint ventures | 1 | 4
Redemption of noncontrolling investments in joint ventures | (3) | (1)
Distributions to noncontrolling investors in joint ventures | (121) | (108)
Other borrowings | 18 | 30
Issuance of long-term debt | 1,236 |
Proceeds from ABL Facility | 2,662 | 2,290
Repayments of long-term indebtedness | (3,920) | (2,152)
Net cash (used in) provided by financing activities | (137) | 59
Net change in cash and cash equivalents | (5) | (27)
Cash and cash equivalents at beginning of period | 38 | 118
Cash and cash equivalents at end of period | 33 | 91
Supplemental disclosure of cash flow information: |  |
Interest payments | (562) | (583)
Income tax payments, net | $ (132) | $ (61)

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