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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Cash flows from operating activities:    
Net loss $ (390) $ (1,427)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 665 839
Government and other legal settlements and related costs 8 10
Stock-based compensation expense 20 36
Impairment of hospitals sold or held for sale 6 1
Impairment and (gain) loss on sale of businesses, net 363 1,695
Loss from early extinguishment of debt 35 30
Gain on sale of investments in unconsolidated affiliates   (94)
Other non-cash expenses, net 24 19
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:    
Patient accounts receivable 229 (40)
Supplies, prepaid expenses and other current assets (37) 64
Accounts payable, accrued liabilities and income taxes (215) (256)
Other (91) (67)
Net cash provided by operating activities 617 810
Cash flows from investing activities:    
Acquisitions of facilities and other related equipment (4) (122)
Purchases of property and equipment (428) (561)
Proceeds from disposition of hospitals and other ancillary operations 1,666 12
Proceeds from sale of property and equipment 4 10
Purchases of available-for-sale securities (85) (395)
Proceeds from sales of available-for-sale securities 133 386
Proceeds from sale of investments in unconsolidated affiliates   403
Distribution from Quorum Health Corporation   1,219
Increase in other investments (95) (201)
Net cash provided by investing activities 1,191 751
Cash flows from financing activities:    
Repurchase of restricted stock shares for payroll tax withholding requirements (5) (5)
Deferred financing costs and other debt-related costs (66) (22)
Proceeds from noncontrolling investors in joint ventures 5  
Redemption of noncontrolling investments in joint ventures (5) (19)
Distributions to noncontrolling investors in joint ventures (79) (69)
Borrowings under credit agreements 839 3,929
Issuance of long-term debt 3,100  
Proceeds from receivables facility 26 66
Repayments of long-term indebtedness (5,271) (5,492)
Net cash used in financing activities (1,456) (1,612)
Net change in cash and cash equivalents 352 (51)
Cash and cash equivalents at beginning of period 238 184
Cash and cash equivalents at end of period 590 133
Supplemental disclosure of cash flow information:    
Interest payments (630) (767)
Income tax payments, net of refunds $ (5) $ (6)