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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Cash Flows From Operating Activities      
Net loss $ (937) $ (559) $ (1,783)
Adjustments to reconcile net loss to net cash provided by operating activities:      
Depreciation and amortization of intangible assets 1,552 1,825 2,075
Amortization and write-off of debt discounts and debt issuance costs 55 61 63
Asset impairments, including loss on assets held for sale 234 114 75
Goodwill impairment 469 0 0
Acquisition-related contingent consideration 11 48 12
Allowances for losses on trade receivables and inventories 60 60 75
Deferred income taxes (225) (475) (230)
Gain on disposal of assets (2) (1) (31)
Additions to accrued legal settlements 569 442 1,401
Payments of accrued legal settlements (351) (168) (15)
Share-based compensation 128 105 102
Foreign exchange loss 6 8 7
Gain excluded from hedge effectiveness (20) (23) (9)
Loss on extinguishment of debt 62 59 42
Payments of contingent consideration adjustments, including accretion (16) (1) (1)
Other (41) (18) 36
Changes in operating assets and liabilities:      
Trade receivables (229) 170 39
Inventories (16) (77) (209)
Prepaid expenses and other current assets (4) 12 1
Accounts payable, accrued and other liabilities 121 (471) (149)
Net cash provided by operating activities 1,426 1,111 1,501
Cash Flows From Investing Activities      
Acquisition of businesses, net of cash acquired 0 0 (180)
Acquisition of intangible assets and other assets (14) (7) (8)
Purchases of property, plant and equipment (269) (302) (270)
Purchases of marketable securities (19) (4) (16)
Proceeds from sale of marketable securities 15 8 10
Proceeds from sale of assets and businesses, net of costs to sell 669 21 45
Settlements from cross-currency swaps 27 23 0
Net cash provided by (used in) investing activities 409 (261) (419)
Cash Flows From Financing Activities      
Issuance of long-term debt, net of discounts 2,100 3,455 5,960
Repayments of long-term debt (3,440) (5,642) (4,406)
Borrowings of short-term debt 0 1 12
Repayments of short-term debt 0 (1) (12)
Payment of employee withholding taxes related to share-based awards (52) (30) (40)
Payments of acquisition-related contingent consideration (83) (35) (35)
Payments of financing costs (48) (39) (28)
Other 10 (3) (8)
Net cash (used in) provided by financing activities (1,513) (2,294) 1,443
Effect of exchange rate changes on cash and cash equivalents (19) 16 (4)
Net increase (decrease) in Cash and cash equivalents and Restricted cash and other settlement deposits 303 (1,428) 2,521
Cash and cash equivalents and Restricted cash and other settlement deposits, beginning of year 1,816 3,244 723
Cash and cash equivalents and Restricted cash and other settlement deposits, end of year 2,119 1,816 3,244
Cash and cash equivalents, end of year 582 605 3,243
Restricted cash and other settlement deposits 1,537 1,211 1
Cash and cash equivalents and Restricted cash and other settlement deposits, end of year $ 2,119 $ 1,816 $ 3,244