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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Cash Flows From Operating Activities    
Net loss $ (407) $ (266)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization of intangible assets 1,397 1,583
Amortization and write-off of debt premiums, discounts and issuance costs 45 49
Asset impairments 17 49
Acquisition-related contingent consideration 26 2
Allowances for losses on trade receivable and inventories 52 46
Deferred income taxes (213) (233)
Gain on sale of assets (1) (10)
Additions to accrued legal settlements 147 12
Payments of accrued legal settlements (82) (4)
Share-based compensation 81 77
Foreign exchange loss 14 8
Gain excluded from hedge effectiveness (17) (3)
Loss on extinguishment of debt 51 40
Payments of contingent consideration adjustments, including accretion 0 (1)
Other (7) 30
Changes in operating assets and liabilities:    
Trade receivables 67 110
Inventories (178) (205)
Prepaid expenses and other current assets 11 16
Accounts payable, accrued and other liabilities (286) (33)
Net cash provided by operating activities 717 1,267
Cash Flows From Investing Activities    
Acquisition of businesses, net of cash acquired 0 (180)
Purchases of property, plant and equipment (222) (192)
Payments for intangible and other assets (3) (1)
Purchases of marketable securities (3) (8)
Proceeds from sale of marketable securities 7 3
Proceeds from sale of assets and businesses, net of costs to sell 21 44
Interest settlements from cross-currency swaps 23 0
Net cash used in investing activities (177) (334)
Cash Flows From Financing Activities    
Issuance of long-term debt, net of discounts 1,476 3,238
Repayments of long-term debt (3,162) (3,956)
Proceeds from the issuances of short-term debt 1 12
Repayments of short-term debt (1) (12)
Payments of employee withholding taxes related to share-based awards (30) (40)
Payments of acquisition-related contingent consideration (30) (27)
Payments of financing costs (39) (26)
Other (6) (1)
Net cash used in financing activities (1,791) (812)
Effect of exchange rate changes on cash and cash equivalents (5) (17)
Net (decrease) increase in cash and cash equivalents and restricted cash (1,256) 104
Cash and cash equivalents and restricted cash, beginning of period 3,244 723
Cash and cash equivalents and restricted cash, end of period 1,988 827
Cash and cash equivalents and restricted cash, end of period $ 1,988 $ 827