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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Cash flows from operating activities:    
Net (loss) income $ (1,371) $ 232
Adjustments to reconcile net (loss) income to net cash provided by operating activities:    
Depreciation and amortization 574 588
Government settlement and related costs 1 1
Stock-based compensation expense 26 30
Loss on sale, net   1
Impairment of hospitals sold or held for sale 1 2
Impairment of goodwill and long-lived assets 1,656 6
Loss from early extinguishment of debt 30 16
Gain on sale of investments in unconsolidated affiliates (94)  
Other non-cash expenses, net 22 (1)
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:    
Patient accounts receivable (40) (88)
Supplies, prepaid expenses and other current assets 31 (30)
Accounts payable, accrued liabilities and income taxes (212) (238)
Other 8 (15)
Net cash provided by operating activities 632 504
Cash flows from investing activities:    
Acquisitions of facilities and other related equipment (114) (27)
Purchases of property and equipment (407) (474)
Proceeds from disposition of hospitals and other ancillary operations 12 62
Proceeds from sale of property and equipment 7 11
Purchases of available-for-sale securities (63) (90)
Proceeds from sales of available-for-sale securities 233 86
Proceeds from the sale of investments in unconsolidated affiliates 403  
Distribution from Quorum Health Corporation 1,219  
Increase in other investments (113) (80)
Net cash provided by (used in) investing activities 1,177 (512)
Cash flows from financing activities:    
Proceeds from exercise of stock options   22
Repurchase of restricted stock shares for payroll tax withholding requirements (5) (20)
Deferred financing costs and other debt-related costs (22) (30)
Redemption of noncontrolling investments in joint ventures (16) (14)
Distributions to noncontrolling investors in joint ventures (47) (48)
Borrowings under credit agreements 2,806 2,385
Proceeds from receivables facility 31 91
Repayments of long-term indebtedness (4,279) (2,522)
Net cash used in financing activities (1,532) (136)
Net change in cash and cash equivalents 277 (144)
Cash and cash equivalents at beginning of period 184 509
Cash and cash equivalents at end of period 461 365
Supplemental disclosure of cash flow information:    
Interest payments (489) (459)
Income tax payments, net $ (4) $ (9)