HCA Holdings 2011 Annual Report Download - page 152

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HCA HOLDINGS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTE 18 — SUPPLEMENTAL CONDENSED CONSOLIDATING FINANCIAL INFORMATION AND
OTHER COLLATERAL-RELATED INFORMATION (Continued)
HCA HOLDINGS, INC.
CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For The Year Ended December 31, 2009
(Dollars in millions)
HCA Inc.
Issuer
Subsidiary
Guarantors
Subsidiary
Non-
Guarantors Eliminations
Condensed
Consolidated
Cash flows from operating activities:
Net income .................................... $1,054 $ 2,060 $ 801 $(2,540) $ 1,375
Adjustments to reconcile net income to net cash
provided by (used in) operating activities:
Change in operating assets and liabilities .......... 90 (1,882) (1,299) — (3,091)
Provision for doubtful accounts .................. — 2,043 1,233 — 3,276
Depreciation and amortization ................... — 787 638 — 1,425
Income taxes ................................ (520) — — — (520)
Losses (gains) on sales of facilities ............... — 17 (2) — 15
Impairments of long-lived assets ................. — 34 9 — 43
Amortization of deferred loan costs ............... 80 — — — 80
Share-based compensation ...................... 40 — — — 40
Pay-in-kind interest ........................... 58 — — — 58
Equity in earnings of affiliates ................... (2,540) — — 2,540 —
Other ...................................... 50 (2) (2) — 46
Net cash provided by (used in) operating
activities ................................ (1,688) 3,057 1,378 — 2,747
Cash flows from investing activities:
Purchase of property and equipment .............. — (720) (597) — (1,317)
Acquisition of hospitals and health care entities ..... — (38) (23) — (61)
Disposal of hospitals and health care entities ....... — 21 20 — 41
Change in investments ......................... — (7) 310 — 303
Other ...................................... — — (1) — (1)
Net cash used in investing activities ............ — (744) (291) — (1,035)
Cash flows from financing activities:
Issuances of long-term debt ..................... 2,979 — — — 2,979
Net change in revolving bank credit facilities ....... (1,335) — — — (1,335)
Repayment of long-term debt ................... (2,972) (7) (124) — (3,103)
Distributions to noncontrolling interests ........... — (70) (260) — (330)
Payment of debt issuance costs .................. (70) — — — (70)
Changes in intercompany balances with affiliates,
net....................................... 3,107 (2,275) (832) — —
Other ...................................... (21) — 15 — (6)
Net cash provided by (used in) financing
activities ................................ 1,688 (2,352) (1,201) — (1,865)
Change in cash and cash equivalents .............. — (39) (114) — (153)
Cash and cash equivalents at beginning of period .... — 134 331 — 465
Cash and cash equivalents at end of period ......... $ — $ 95 $ 217 $ — $ 312
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