v3.23.2
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Cash flows from operating activities    
Net income (loss) including non-controlling interests $ 237 $ (8,534)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Depreciation and amortization 415 497
Bad debt expense 44 51
Stock-based compensation 974 829
Deferred income taxes 16 (267)
Income from equity method investments, net (40) (35)
Unrealized (gain) loss on debt and equity securities, net (706) 7,247
Loss from sale of investment 74 0
Impairments of goodwill, long-lived assets and other assets 78 15
Impairment of equity method investment 0 182
Revaluation of MLU B.V. call option 0 (170)
Unrealized foreign currency transactions 85 10
Other 10 (2)
Change in assets and liabilities, net of impact of business acquisitions and disposals:    
Accounts receivable 155 (129)
Prepaid expenses and other assets (233) 58
Operating lease right-of-use assets 94 95
Accounts payable (26) (45)
Accrued insurance reserves 938 326
Accrued expenses and other liabilities (229) 414
Operating lease liabilities (90) (88)
Net cash provided by operating activities 1,796 454
Cash flows from investing activities    
Purchases of property and equipment (107) (119)
Purchases of non-marketable equity securities 0 (14)
Purchases of marketable securities (2,207) 0
Proceeds from maturities and sales of marketable securities 1,627 0
Proceeds from sale of equity method investment 703 0
Acquisition of businesses, net of cash acquired 0 (59)
Other investing activities (7) 3
Net cash provided by (used in) investing activities 9 (189)
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 (1,144) 0
Principal payments on finance leases (82) (108)
Proceeds from the issuance of common stock under the Employee Stock Purchase Plan 85 59
Other financing activities (45) (59)
Net cash used in financing activities (65) (108)
Effect of exchange rate changes on cash and cash equivalents, and restricted cash and cash equivalents 43 (98)
Net increase in cash and cash equivalents, and restricted cash and cash equivalents 1,783 59
Cash and cash equivalents, and restricted cash and cash equivalents    
Beginning of period 6,677 7,805
End of period 8,460 7,864
Reconciliation of cash and cash equivalents, and restricted cash and cash equivalents to the condensed consolidated balance sheets    
Cash and cash equivalents 4,995 4,397
Restricted cash and cash equivalents-current 909 526
Restricted cash and cash equivalents-non-current 2,556 2,941
Total cash and cash equivalents, and restricted cash and cash equivalents 8,460 7,864
Cash paid for:    
Interest, net of amount capitalized 312 253
Income taxes, net of refunds 70 105
Non-cash investing and financing activities:    
Finance lease obligations 163 81
Right-of-use assets obtained in exchange for lease obligations $ 30 $ 245