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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Cash flows from operating activities:    
Net income (loss) $ 232 $ (27)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Depreciation and amortization 588 617
Government settlement and related costs 1  
Stock-based compensation expense 30 22
Loss on sale, net 1  
Impairment of long-lived assets and hospitals sold or held for sale 8 46
Loss from early extinguishment of debt 16 73
Excess tax benefit relating to stock-based compensation   (3)
Other non-cash expenses, net (1) 19
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:    
Patient accounts receivable (88) (166)
Supplies, prepaid expenses and other current assets (30) 38
Accounts payable, accrued liabilities and income taxes (238) (55)
Other (15) (50)
Net cash provided by operating activities 504 514
Cash flows from investing activities:    
Acquisitions of facilities and other related equipment (27) (3,041)
Purchases of property and equipment (474) (361)
Proceeds from disposition of hospitals and other ancillary operations 62 12
Proceeds from sale of property and equipment 11 3
Purchases of available-for-sale securities (90) (137)
Proceeds from sales of available-for-sale securities 86 123
Increase in other investments (80) (251)
Net cash used in investing activities (512) (3,652)
Cash flows from financing activities:    
Proceeds from exercise of stock options 22 14
Repurchase of restricted stock shares for payroll tax withholding requirements (20) (11)
Deferred financing costs and other debt-related costs (30) (269)
Excess tax benefit relating to stock-based compensation   3
Proceeds from noncontrolling investors in joint ventures   10
Redemption of noncontrolling investments in joint ventures (14) (6)
Distributions to noncontrolling investors in joint ventures (48) (44)
Borrowings under credit agreements 2,385 7,488
Issuance of long-term debt   4,000
Proceeds from receivables facility 91 133
Repayments of long-term indebtedness (2,522) (8,164)
Net cash (used in) provided by financing activities (136) 3,154
Net change in cash and cash equivalents (144) 16
Cash and cash equivalents at beginning of period 509 373
Cash and cash equivalents at end of period 365 389
Supplemental disclosure of cash flow information:    
Interest payments (459) (352)
Income tax (payments) refunds, net $ (9) $ 73