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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Cash flows from operating activities:    
Net loss $ (246) $ (98)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 305 358
Government and other legal settlements and related costs 9 7
Stock-based compensation expense 6 7
Impairment and (gain) loss on sale of businesses, net 71 202
Loss (gain) from early extinguishment of debt 31 (59)
Other non-cash expenses, net 101 23
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:    
Patient accounts receivable (7) (21)
Supplies, prepaid expenses and other current assets 72 (15)
Accounts payable, accrued liabilities and income taxes 27 (308)
Other (104) (2)
Net cash provided by operating activities 265 94
Cash flows from investing activities:    
Acquisitions of facilities and other related businesses (13) (10)
Purchases of property and equipment (212) (295)
Proceeds from disposition of hospitals and other ancillary operations 161 88
Proceeds from sale of property and equipment 1 4
Purchases of available-for-sale securities and equity securities (39) (38)
Proceeds from sales of available-for-sale securities and equity securities 52 63
Increase in other investments (97) (53)
Net cash used in investing activities (147) (241)
Cash flows from financing activities:    
Repurchase of restricted stock shares for payroll tax withholding requirements (1) (1)
Deferred financing costs and other debt-related costs (28) (54)
Proceeds from noncontrolling investors in joint ventures 2 1
Redemption of noncontrolling investments in joint ventures (2) (6)
Distributions to noncontrolling investors in joint ventures (57) (52)
Borrowings under credit agreements 23 26
Issuance of long-term debt 2,034  
Proceeds from ABL facility 25 587
Repayments of long-term indebtedness (2,103) (709)
Net cash used in financing activities (107) (208)
Net change in cash and cash equivalents 11 (355)
Cash and cash equivalents at beginning of period 196 563
Cash and cash equivalents at end of period 207 208
Supplemental disclosure of cash flow information:    
Interest payments (318) (486)
Income tax refunds (payments), net $ 3 $ 9