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v3.25.1

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Cash flows from operating activities: |  |
Net income (loss) | $ 25 | $ (6)
Adjustments to reconcile net income (loss) to net cash provided by operating activities: |  |
Depreciation and amortization | 105 | 115
Deferred income taxes | (26) | (14)
Stock-based compensation expense | 4 | 6
Impairment and (gain) loss on sale of businesses, net | (24) | 17
Other non-cash expenses, net | 45 | 33
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures: |  |
Patient accounts receivable | (48) | 39
Supplies, prepaid expenses and other current assets | (10) | (40)
Accounts payable, accrued liabilities and income taxes | 103 | (13)
Other | (54) | (41)
Net cash provided by operating activities | 120 | 96
Cash flows from investing activities: |  |
Acquisitions of facilities and other related businesses | 0 | (1)
Purchases of property and equipment | (85) | (93)
Proceeds from disposition of hospitals and other ancillary operations | 563 | 0
Proceeds from sale of property and equipment | 0 | 1
Purchases of available-for-sale debt securities and equity securities | (22) | (4)
Proceeds from sales of available-for-sale debt securities and equity securities | 23 | 12
Purchases of investments in unconsolidated affiliates | 0 | (4)
Increase in other investments | (35) | (10)
Net cash provided by (used in) investing activities | 444 | (99)
Cash flows from financing activities: |  |
Repurchase of restricted stock shares for payroll tax withholding requirements | (1) | (2)
Distributions to noncontrolling investors in joint ventures | (35) | (50)
Other borrowings | 15 | 17
Proceeds from ABL Facility | 939 | 933
Repayments of long-term indebtedness | (1,088) | (885)
Net cash (used in) provided by financing activities | (170) | 13
Net change in cash and cash equivalents | 394 | 10
Cash and cash equivalents at beginning of period | 37 | 38
Cash and cash equivalents at end of period | 431 | 48
Supplemental disclosure of cash flow information: |  |
Interest payments | (229) | (149)
Income tax refunds (payments), net | $ 80 | $ 0

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