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Condensed Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Millions, unless otherwise specified
6 Months Ended
Jun. 30, 2014
Jun. 30, 2013
Cash flows from operating activities:    
Net income (loss) $ (27) $ 143
Adjustments to reconcile net (loss) income to net cash provided by operating activities:    
Depreciation and amortization 617 387
Stock-based compensation expense 22 19
Impairment of long-lived assets and hospitals held for sale 46  
Loss from early extinguishment of debt 73 1
Excess tax benefit relating to stock-based compensation (3) (6)
Other non-cash expenses, net 19 27
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:    
Patient accounts receivable (166) (106)
Supplies, prepaid expenses and other current assets 38 15
Accounts payable, accrued liabilities and income taxes (55) (180)
Other (50) 9
Net cash provided by operating activities 514 309
Cash flows from investing activities:    
Acquisitions of facilities and other related equipment (3,041) (10)
Purchases of property and equipment (361) (295)
Proceeds from disposition of ancillary operations 12  
Proceeds from sale of property and equipment 3 2
Purchases of available-for-sale securities (137)  
Proceeds from sales of available-for-sale securities 123  
Increase in other investments (251) (135)
Net cash used in investing activities (3,652) (438)
Cash flows from financing activities:    
Proceeds from exercise of stock options 14 104
Repurchase of restricted stock shares for payroll tax withholding requirements (11) (15)
Stock buy-back   (27)
Deferred financing costs and other debt-related costs (269) (1)
Excess tax benefit relating to stock-based compensation 3 6
Proceeds from noncontrolling investors in joint ventures 10  
Redemption of noncontrolling investments in joint ventures (6)  
Distributions to noncontrolling investors in joint ventures (44) (38)
Borrowings under credit agreements 7,488 296
Issuance of long-term debt 4,000  
Proceeds from receivables facility 133 300
Repayments of long-term indebtedness (8,164) (633)
Net cash provided by (used in) financing activities 3,154 (8)
Net change in cash and cash equivalents 16 (137)
Cash and cash equivalents at beginning of period 373 388
Cash and cash equivalents at end of period 389 251
Supplemental disclosure of cash flow information:    
Interest payments (352) (296)
Income tax (paid), net of refunds received $ 73 $ (70)