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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Statement of Cash Flows [Abstract]    
Net income $ 328 $ 193
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 409 422
Deferred income tax (benefit) expense (49) 48
Stock-based compensation expense 27 23
Impairment and restructuring charges, and acquisition-related costs 109 55
Litigation and investigation costs 4 31
Net losses (gains) on sales, consolidation and deconsolidation of facilities (3) 2
Loss from early extinguishment of debt 4 47
Equity in earnings of unconsolidated affiliates, net of distributions received (39) (2)
Amortization of debt discount and debt issuance costs 20 21
Pre-tax loss (income) from discontinued operations 1 (12)
Other items, net (3) (10)
Changes in cash from operating assets and liabilities:    
Accounts receivable 317 (138)
Inventories and other current assets 44 (64)
Income taxes 14 (2)
Accounts payable, accrued expenses and other current liabilities 1,209 (239)
Other long-term liabilities 90 4
Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements (114) (80)
Net cash used in operating activities from discontinued operations, excluding income taxes 0 (5)
Net cash provided by operating activities 2,368 294
Cash flows from investing activities:    
Purchases of property and equipment — continuing operations (288) (336)
Purchases of businesses or joint venture interests, net of cash acquired (56) (13)
Proceeds from sales of facilities and other assets — continuing operations 12 40
Proceeds from sales of facilities and other assets — discontinued operations 0 17
Proceeds from sales of marketable securities, long-term investments and other assets 35 9
Purchases of marketable securities and equity investments (10) (14)
Other long-term assets 0 (4)
Other items, net 18 (2)
Net cash used in investing activities (289) (303)
Cash flows from financing activities:    
Repayments of borrowings under credit facility (740) (1,095)
Proceeds from borrowings under credit facility 740 1,285
Repayments of other borrowings (229) (1,668)
Proceeds from other borrowings 1,312 1,516
Debt issuance costs (22) (18)
Distributions paid to noncontrolling interests (100) (144)
Proceeds from sale of noncontrolling interests 5 9
Purchases of noncontrolling interests 0 (6)
Proceeds from exercise of stock options and employee stock purchase plan 5 3
Other items, net 202 (35)
Net cash provided by (used in) financing activities 1,173 (153)
Net increase (decrease) in cash and cash equivalents 3,252 (162)
Cash and cash equivalents at beginning of period 262 411
Cash and cash equivalents at end of period 3,514 249
Supplemental disclosures:    
Interest paid, net of capitalized interest (465) (484)
Income tax payments, net $ (5) $ (13)