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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Cash flows from operating activities    
Net loss including non-controlling interests $ (157) $ (5,918)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 207 254
Bad debt expense 20 18
Stock-based compensation 470 359
Deferred income taxes 10 (281)
Income from equity method investments, net (36) (18)
Unrealized (gain) loss on debt and equity securities, net (320) 5,570
Impairments of goodwill, long-lived assets and other assets 67 13
Impairment of equity method investment 0 182
Revaluation of MLU B.V. call option 0 (181)
Unrealized foreign currency transactions 83 (15)
Other 4 5
Change in assets and liabilities, net of impact of business acquisitions and disposals:    
Accounts receivable 168 (26)
Prepaid expenses and other assets (119) (20)
Operating lease right-of-use assets 52 42
Accounts payable (7) 8
Accrued insurance reserves 350 134
Accrued expenses and other liabilities (142) (72)
Operating lease liabilities (44) (39)
Net cash provided by operating activities 606 15 Close
Cash flows from investing activities    
Purchases of property and equipment (57) (62)
Purchases of non-marketable equity securities 0 (13)
Purchases of marketable securities (846) 0
Proceeds from maturities and sales of marketable securities 500 0
Acquisition of businesses, net of cash acquired 0 (59)
Other investing activities 4 (1)
Net cash used in investing activities (399) (135) Close
Cash flows from financing activities    
Issuance of term loans and notes, net of issuance costs 1,121 0
Principal repayment on term loan and notes (1,137) (6)
Principal payments on finance leases (40) (62)
Other financing activities (51) (45)
Net cash used in financing activities (107) (113) Close
Effect of exchange rate changes on cash and cash equivalents, and restricted cash and cash equivalents 16 20 Close
Net increase (decrease) in cash and cash equivalents, and restricted cash and cash equivalents 116 (213) Close
Cash and cash equivalents, and restricted cash and cash equivalents    
Beginning of period 6,677 7,805
End of period 6,793 7,592
Reconciliation of cash and cash equivalents, and restricted cash and cash equivalents to the condensed consolidated balance sheets    
Cash and cash equivalents 4,045 4,184
Restricted cash and cash equivalents-current 897 543
Restricted cash and cash equivalents-non-current 1,851 2,865
Total cash and cash equivalents, and restricted cash and cash equivalents 6,793 7,592
Cash paid for:    
Interest, net of amount capitalized 157 135
Income taxes, net of refunds 22 41
Non-cash investing and financing activities:    
Finance lease obligations 120 46
Right-of-use assets obtained in exchange for lease obligations $ 12 $ 132