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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Cash Flows From Operating Activities      
Net loss $ (559) $ (1,783) $ (4,144)
Adjustments to reconcile net loss to net cash provided by operating activities:      
Depreciation and amortization of intangible assets 1,825 2,075 2,819
Amortization and write-off of debt discounts and debt issuance costs 61 63 79
Asset impairments, including loss on assets held for sale 114 75 568
Goodwill impairment 0 0 2,322
Acquisition-related contingent consideration 48 12 (9)
Allowances for losses on trade receivables and inventories 60 75 69
Deferred income taxes (475) (230) (144)
(Gain) loss on disposal of assets (1) (31) 6
Additions (reductions) to accrued legal settlements 442 1,401 (27)
Payments of accrued legal settlements (168) (15) (224)
Share-based compensation 105 102 87
Foreign exchange loss (gain) 8 7 (19)
Gain excluded from hedge effectiveness (23) (9) 0
Loss on extinguishment of debt 59 42 119
Payments of contingent consideration adjustments, including accretion (1) (1) (2)
Other (18) 36 (17)
Changes in operating assets and liabilities:      
Trade receivables 170 39 216
Inventories (77) (209) (5)
Prepaid expenses and other current assets 12 1 (72)
Accounts payable, accrued and other liabilities (471) (149) (121)
Net cash provided by operating activities 1,111 1,501 1,501
Cash Flows From Investing Activities      
Acquisition of businesses, net of cash acquired 0 (180) 5
Acquisition of intangible assets and other assets (7) (8) (78)
Purchases of property, plant and equipment (302) (270) (157)
Purchases of marketable securities (4) (16) (7)
Proceeds from sale of marketable securities 8 10 7
Proceeds from sale of assets and businesses, net of costs to sell 21 45 34
Interest settlements from cross-currency swaps 23 0 0
Net cash used in investing activities (261) (419) (196)
Cash Flows From Financing Activities      
Issuance of long-term debt, net of discounts 3,455 5,960 8,944
Repayments of long-term debt (5,642) (4,406) (10,101)
Borrowings of short-term debt 1 12 0
Repayments of short-term debt (1) (12) (3)
Payment of employee withholding taxes related to share-based awards (30) (40) (10)
Payments of acquisition-related contingent consideration (35) (35) (37)
Payments of deferred consideration 0 0 (18)
Payments of financing costs (39) (28) (102)
Other (3) (8) (26)
Net cash (used in) provided by financing activities (2,294) 1,443 (1,353)
Effect of exchange rate changes on cash and cash equivalents 16 (4) (26)
Net (decrease) increase in Cash and cash equivalents and Restricted cash (1,428) 2,521 (74)
Cash and cash equivalents and Restricted cash, beginning of year 3,244 723 797
Cash and cash equivalents and Restricted cash, end of year 1,816 3,244 723
Cash and cash equivalents, end of year 605 3,243 721
Restricted cash, end of year 1,211 1 2
Cash and cash equivalents and Restricted cash, end of year $ 3,244 $ 723 $ 723