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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Cash flows from operating activities:    
Net (loss) income $ (1,427) $ 308
Adjustments to reconcile net (loss) income to net cash provided by operating activities:    
Depreciation and amortization 839 876
Government and other legal settlements and related costs 10 1
Stock-based compensation expense 36 44
Loss on sale, net   4
Impairment of hospitals sold or held for sale 1 8
Impairment of goodwill and long-lived assets 1,695  
Loss from early extinguishment of debt 30 16
Gain on sale of investments in unconsolidated affiliates (94)  
Other non-cash expenses, net 19 22
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:    
Patient accounts receivable (40) (291)
Supplies, prepaid expenses and other current assets 64 (72)
Accounts payable, accrued liabilities and income taxes (256) (239)
Other (67) (62)
Net cash provided by operating activities 810 615
Cash flows from investing activities:    
Acquisitions of facilities and other related equipment (122) (41)
Purchases of property and equipment (561) (696)
Proceeds from disposition of hospitals and other ancillary operations 12 87
Proceeds from sale of property and equipment 10 13
Purchases of available-for-sale securities (395) (127)
Proceeds from sales of available-for-sale securities 386 123
Proceeds from sale of investments in unconsolidated affiliates 403  
Distribution from Quorum Health Corporation 1,219  
Increase in other investments (201) (136)
Net cash provided by (used in) investing activities 751 (777)
Cash flows from financing activities:    
Proceeds from exercise of stock options   24
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 (19) (18)
Distributions to noncontrolling investors in joint ventures (69) (69)
Borrowings under credit agreements 3,929 3,464
Proceeds from receivables facility 66 112
Repayments of long-term indebtedness (5,492) (3,624)
Net cash used in financing activities (1,612) (161)
Net change in cash and cash equivalents (51) (323)
Cash and cash equivalents at beginning of period 184 509
Cash and cash equivalents at end of period 133 186
Supplemental disclosure of cash flow information:    
Interest payments (767) (752)
Income tax payments, net $ (6) $ (10)