Skip to main content
Signal8

COMMUNITY HEALTH SYSTEMS INC (CYH)

Community Health Systems, Inc. (CYH) operates as a major healthcare provider across the United States, focusing on the ownership, leasing, and management of general acute care hospitals. The organization offers a comprehensive array of medical services, including emergency care, general and specialized surgical procedures, critical care, internal medicine, obstetrics, and various diagnostic capabilities. Additionally, they provide psychiatric services, rehabilitation programs, skilled nursing, and in-home care. Beyond its hospital-based offerings, the company delivers outpatient services through a diverse network of facilities. These encompass primary care practices, urgent care centers, independent emergency departments, ambulatory surgery centers, advanced imaging and diagnostic centers, retail health clinics, and direct-to-consumer virtual health consultations. As of December 31, 2021, CYH's holdings included 83 hospitals, either owned or leased. This total comprised 81 general acute care facilities and two specialized stand-alone rehabilitation or psychiatric hospitals, collectively providing a capacity of 13,289 licensed patient beds. The company was established in 1985 and its corporate headquarters are situated in Franklin, Tennessee.

Sector: Services-General Medical & Surgical Hospitals, NEC

Industry: Medical - Care Facilities

Community Health Systems, Inc. logo

Community Health Systems, Inc.

NYSE:CYHHealthcare
+0.34%$2.92
AH Close$2.92+0.00%vs close
Mkt Cap$411.75M
Float118.49M
O/S141.01M
Inst Own81.9%
SI10.4%
Dilution
Community Health Systems, Inc. logoNYSE:CYH$2.92+0.34%
Delisting Issues Timeline
Financials Summary
Revenue$12.48B
Net Income$509M
Total Assets$13.2B
Free Cash Flow$208M
Debt & Equity
Debt 114%
Total Debt$11.58B
Total Equity-$1.39B
Shares Outstanding
Short Interest
Split History

No splits on record

Nothing in CYH's public trading history: no forward or reverse split has affected the share count.

Balance Sheet Details
Assets$13.2B
Liabilities$14.04B
Accounts Receivable$2.26B
Accounts Payable$842M
Inventory$322M
PP&E (Net)$5.12B
Goodwill$3.32B
Intangible Assets$144M
Income Statement
PeriodFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016FY 2015FY 2014FY 2013FY 2012FY 2011FY 2010FY 2009FY 2008FY 2007FY 2006FY 2005FY 2004FY 2003FY 2002FY 2001FY 2000FY 1999
CurrencyUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSD
Period Ending2025-12-312024-12-312023-12-312022-12-312021-12-312020-12-312019-12-312018-12-312017-12-312016-12-312015-12-312014-12-312013-12-312012-12-312011-12-312010-12-312009-12-312008-12-312007-12-312006-12-312005-12-312004-12-312003-12-312002-12-312001-12-312000-12-311999-12-31
Revenue$12.48B$12.63B$12.49B$12.21B$12.37B$11.79B$13.21B$14.15B$15.35B$18.44B$19.44B$18.64B$13B$13.03B$11.91B$11.4B$12.11B$10.84B$7.13B$4.37B$3.74B$3.33B$2.83B$2.2B$1.69B$1.34B$1.08B
YoY Growth-1.2%1.2%2.3%-1.3%4.9%-10.8%-6.7%-7.8%-16.7%-5.1%4.3%43.4%-0.2%9.4%4.5%-5.9%11.7%52.1%63.3%16.8%12.2%17.6%28.8%29.9%26.6%23.8%-
Cost of Revenue$11.4B$7.36B$7.41B$7.3B$7.28B$7.37B$8.1B$8.74B$10.05B$11.63B$12.04B$11.48B$8.08B$7.95B$1.83B$1.77B$6.53B$5.85B$3.84B$2.25B$1.93B$1.74B$912.8M$1.38B$323.81M$259.47M$209.08M
Gross Profit$1.08B$5.27B$5.08B$4.91B$5.08B$4.42B$5.11B$5.42B$5.3B$6.8B$7.4B$7.16B$4.74B$4.89B$10.07B$9.63B$5.58B$4.99B$3.29B$2.11B$1.8B$1.59B$1.92B$817.99M$1.37B$1.08B$870.87M
Gross Margin8.7%41.7%40.7%40.2%41.1%37.5%38.7%38.3%34.6%36.9%38.1%38.4%36.4%37.5%84.6%84.5%46.1%46.1%46.1%48.4%48.2%47.8%67.8%37.2%80.9%80.6%80.6%
Research and Development$0$0$80M$85M$108M$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0
Selling, General, and Administrative$0$299M$319M$317M$308M$327M$321M$337M$394M$450M$457M$434M$279M$264M$5.83B$5.5B$247.13M$4.56B$2.49B$1.54B$1.23B$1.1B$1.49B$1.84B$1.06B$825.29M$683.96M
Other$11B$4.43B$3.73B$3.68B$3.27B$2.96B$4.14B$4.87B$6.79B$7.21B$5.6B$5.39B$3.54B$0$4.89B$4.6B$4.26B$1.71B$316.21M$191.57M$167.67M$158.26M$145.75M$120.45M$119.67M$97.62M$81.65M
Total Operating Expenses$11B$4.73B$4.13B$4.08B$3.68B$3.29B$4.46B$5.21B$7.18B$7.66B$6.06B$5.82B$3.82B$3.75B$9B$8.51B$4.51B$9.86B$2.8B$1.73B$1.4B$1.25B$1.63B$1.96B$1.18B$922.91M$765.61M
Operating Income (EBIT)-$9.91B$542M$957M$821M$1.4B$1.13B$650M$208M-$1.88B-$860M$1.34B$1.34B$917M$1.24B$1.13B$1.11B$1.07B$983.57M$485.69M$380.46M$405.53M$338.87M$290.77M$241.51M$189.04M$155.11M$105.25M
Operating Margin-79.4%4.3%7.7%6.7%11.3%9.6%4.9%1.5%-12.2%-4.7%6.9%7.2%7.1%9.5%9.5%9.8%8.8%9.1%6.8%8.7%10.8%10.2%10.3%11.0%11.2%11.6%9.7%
Interest Expense$870M$863M$832M$858M$885M$1.03B$1.04B$976M$942M$962M$973M$972M$615.15M$622.93M$649.06M$653.68M$648.96M$658.98M$364.53M$102.3M$94.61M$77.86M$71.09M$62.86M$94.55M$0$0
Interest Income$0$3M$2M$0$0$0$0$0$11M$0$0$0$2.98M$0$4.65M$1.76M$3.56M$7.06M$8.18M$0$0$0$0$0$0$0$0
Other Income (Expense)$10.64B-$825M-$750M-$472M-$903M-$704M$0-$923M-$955M-$855M-$926M-$997M-$611.14M-$706.35M-$660.94M-$606.49M-$622.53M-$607.34M-$378.39M-$104.1M-$94.61M-$72.44M-$71.09M-$62.86M-$94.55M-$127.37M-$116.49M
Income Before Tax (EBT)$724M-$283M$207M$349M$499M$422M-$430M-$715M-$2.83B-$1.72B$411M$342M$305.86M$503.77M$473.55M$508.43M$446.13M$336.14M$102.9M$278.16M$310.92M$260.22M$219.68M$178.65M$94.5M$27.74M-$11.24M
Income Tax Expense$48M$79M$191M$170M$131M-$185M$160M-$11M-$449M-$104M$116M$82M$88.59M$157.5M$137.65M$159.99M$141.32M$129.48M$43M$106.68M$120.78M$102M$88.21M$73.39M$45.94M$18.17M$5.55M
Net Income$509M-$516M-$133M$46M$230M$511M-$590M-$788M-$2.46B-$1.72B$158M$92M$141.2M$265.64M$201.95M$279.98M$243.15M$218.3M$30.29M$168.26M$167.54M$151.43M$131.47M$99.98M$44.74M$9.57M-$16.79M
Net Income Margin4.1%-4.1%-1.1%0.4%1.9%4.3%-4.5%-5.6%-16.0%-9.3%0.8%0.5%1.1%2.0%1.7%2.5%2.0%2.0%0.4%3.9%4.5%4.5%4.6%4.5%2.6%0.7%-1.6%
Supplementary Data
EPS3.80-3.90-1.020.361.824.42-5.19-6.99-22.00-15.551.380.821.512.982.243.052.682.340.321.771.891.581.341.020.510.14-0.31
Diluted EPS3.77-3.90-1.020.351.764.38-5.19-6.99-22.00-15.541.370.821.512.962.233.012.662.320.321.751.791.511.301.000.500.14-0.31
Weighted Average OS134.00M132.10M130.39M128.81M126.75M115.49M113.74M112.73M111.77M110.71M114.00M112.00M92.63M89.24M89.97M91.72M90.61M93.37M93.52M94.98M88.60M95.64M98.39M98.42M88.38M67.61M54.55M
EBITDA$2.02B$1.33B$1.38B$1.25B$1.82B$1.13B$1.51B$1.59B$1.08B$2.18B$2.59B$2.83B$1.83B$1.96B$1.78B$1.77B$1.67B$1.54B$824.19M$569.23M$564.63M$500.85M$434.54M$359.73M$308.71M$252.74M$186.91M
EBITDA Margin16.2%10.5%11.0%10.3%14.7%9.6%11.4%11.2%7.0%11.8%13.3%15.2%14.1%15.1%15.0%15.5%13.8%14.2%11.6%13.0%15.1%15.0%15.3%16.3%18.2%18.9%17.3%
Balance Sheet
PeriodFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016FY 2015FY 2014FY 2013FY 2012FY 2011FY 2010FY 2009FY 2008FY 2007FY 2006FY 2005FY 2004FY 2003FY 2002FY 2001FY 2000FY 1999
CurrencyUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSD
Period Ending2025-12-312024-12-312023-12-312022-12-312021-12-312020-12-312019-12-312018-12-312017-12-312016-12-312015-12-312014-12-312013-12-312012-12-312011-12-312010-12-312009-12-312008-12-312007-12-312006-12-312005-12-312004-12-312003-12-312002-12-312001-12-312000-12-311999-12-31
Assets
Current Assets
Cash and Cash Equivalents$260M$37M$38M$118M$507M$1.68B$216M$196M$563M$238M$184M$509M$373.4M$387.81M$129.87M$299.17M$344.54M$220.66M$132.87M$40.57M$104.11M$82.5M$16.33M$132.84M$8.39M$13.74M$4.28M
Short-Term Investments$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0
Cash and Short-Term Investments$260M$37M$38M$118M$507M$1.68B$216M$196M$563M$238M$184M$509M$373.4M$387.81M$129.87M$299.17M$344.54M$220.66M$132.87M$40.57M$104.11M$82.5M$16.33M$132.84M$8.39M$13.74M$4.28M
Accounts Receivable$2.26B$2.45B$2.36B$2.14B$2.18B$2.06B$2.4B$2.51B$2.54B$3.36B$3.82B$3.59B$2.47B$2.19B$1.83B$1.83B$1.62B$1.61B$1.53B$773.98M$656.03M$597.26M$559.1M$400.44M$370.05M$309.83M$226.35M
Inventory$322M$331M$328M$353M$355M$335M$354M$402M$444M$480M$580M$557M$377M$368.17M$346.61M$329.11M$302.61M$272.94M$262.9M$113.32M$95.2M$88.27M$77.42M$60.46M$47.47M$39.68M$32.13M
Other Current Assets$381M$197M$145M$138M$155M$202M$221M$245M$309M$382M$354M$686M$290.69M$426.69M$321.44M$309.15M$275.05M$331.89M$453.57M$61.13M$25.49M$16.94M$18.92M$31.88M$53.81M$45.33M$37.73M
Total Current Assets$3.23B$3.3B$3.21B$3.08B$3.48B$4.51B$3.43B$3.55B$4.07B$4.67B$5.17B$5.57B$3.75B$3.42B$2.85B$2.87B$2.67B$2.61B$2.55B$1.02B$914.21M$815.45M$696.08M$647.73M$494.56M$408.58M$300.5M
Long-Term Assets
Property, Plant & Equipment Net$5.12B$5.4B$5.87B$6.1B$6.22B$5.96B$6.21B$6.14B$7.05B$8.15B$10.11B$10.17B$7.11B$7.15B$6.86B$6.46B$6.13B$5.87B$5.51B$1.99B$1.61B$1.48B$1.4B$1.03B$866.53M$708.08M$623.34M
Goodwill$3.32B$3.79B$3.96B$4.17B$4.22B$4.22B$4.33B$4.56B$4.72B$6.52B$8.96B$8.95B$4.44B$4.41B$4.26B$4.2B$4.16B$4.17B$4.25B$1.34B$1.26B$1.21B$1.16B$1.03B$1B$0$0
Intangible Assets$144M$172M$205M$224M$270M$305M$385M$423M$505M$674M$923M$170M$70.1M$74.4M$77.5M$80.5M$91.4M$89.3M$181M$0$0$0$0$0$0$985.57M$877.89M
Long-Term Investments$138M$152M$170M$155M$129M$190M$283M$269M$171M$177M$479M$470M$421.7M$432.1M$422.2M$409.5M$399.4M$421.6M$267.8M$0$0$0-$669K-$15.68M-$33.41M$0$0
Deferred Tax Assets$50M$13M$29M$49M$53M$59M$38M$69M$62M$411M$593M$341M$101.37M$117.05M$89.8M$115.82M$80.71M$91.88M$113.74M$13.25M$4.13M$1.3M$669K$15.68M$33.41M$0$0
Other Long-Term Assets$1.2B$1.23B$1.01B$890M$846M$759M$933M$851M$869M$1.76B$950M$2.1B$1.32B$1.12B$742.23M$679.56M$565.5M$667.15M$731.66M$162.09M$149.2M$118.83M$102.99M$102.46M$98.65M$111.61M$93.36M
Total Long-Term Assets$9.97B$10.75B$11.25B$11.59B$11.74B$11.5B$12.18B$12.31B$13.38B$17.28B$21.7B$21.86B$13.37B$13.19B$12.36B$11.83B$11.35B$11.21B$10.94B$3.49B$3.02B$2.82B$2.65B$2.16B$1.97B$1.81B$1.59B
Other Assets$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0
Total Assets$13.2B$14.05B$14.46B$14.67B$15.22B$16.01B$15.61B$15.86B$17.45B$21.94B$26.86B$27.42B$17.12B$16.61B$15.21B$14.7B$14.02B$13.82B$13.49B$4.51B$3.93B$3.63B$3.35B$2.81B$2.46B$2.21B$1.9B
Liabilities
Current Liabilities
Accounts Payable$842M$784M$811M$686M$725M$683M$718M$772M$801M$880M$1.08B$1.1B$816.99M$775.71M$749M$526.34M$428.56M$529.43M$471.29M$247.75M$189.94M$162.64M$154.71M$299.9M$91.1M$83.19M$57.39M
Short-Term Debt$126M$135M$145M$169M$178M$265M$156M$204M$33M$455M$229M$235M$166.9M$89.91M$63.71M$63.14M$66.47M$29.46M$20.71M$35.4M$19.12M$26.87M$29.68M$18.53M$58.69M$17.43M$27.03M
Current Income Tax Payable$13M$53M$76M$99M$94M$50M$48M$3M$17M$17M$27M$30M$107.08M$49.89M$101.39M$118.46M$45.41M$92.71M$99.42M$7.63M$19.81M$2.81M$9.13M$6.56M$2.33M$0$0
Current Unearned Revenue$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$204.55M-$181.66M$147.46M$0$0
Other Current Liabilities$1.24B$830M$615M$694M$806M$1.23B$814M$789M$837M$821M$935M$1.27B$771.42M$563.91M$477.93M$447.65M$434.26M$540.65M$552.33M$122.33M$86.75M$70.38M$9.79M$0$11.53M$140.25M$150.86M
Total Current Liabilities$2.21B$2.35B$2.14B$2.19B$2.36B$2.81B$2.28B$2.39B$2.36B$2.89B$3.07B$3.59B$2.46B$2.14B$1.91B$1.64B$1.46B$1.53B$1.45B$575.28M$437.4M$362.36M$398.06M$318.43M$299.57M$240.87M$235.28M
Long-Term Liabilities
Long-Term Debt$10.72B$11.24B$11.25B$11.39B$11.72B$11.86B$13.12B$13.17B$13.59B$14.49B$16.56B$16.5B$9.25B$9.41B$8.74B$8.76B$8.81B$8.9B$9.05B$1.87B$1.63B$1.79B$1.44B$1.17B$980.08M$1.2B$1.41B
Long-Term Unearned Revenue$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0-$37.71M$0$0$0
Long-Term Deferred Tax Liabilities$25M$231M$369M$354M$192M$29M$200M$26M$19M$411M$593M$845M$906.1M$808.49M$704.73M$608.18M$475.81M$460.79M$407.95M$141.47M$157.58M$142.26M$110.34M$102.83M$44.67M$0$0
Other Long-Term Liabilities$354M$828M$739M$644M$827M$1.6B$894M$1.01B$1.36B$1.57B$1.7B$1.69B$977.34M$1.04B$949.99M$1B$858.95M$887.45M$483.46M$136.77M$108.96M$83.13M$46.24M$0$20.67M$15.2M$22.5M
Total Long-Term Liabilities$11.83B$13.03B$13.14B$13.22B$13.66B$14.24B$14.97B$14.43B$15.26B$16.77B$19.11B$19.22B$11.17B$11.3B$10.44B$10.42B$10.55B$10.29B$9.97B$2.21B$1.93B$2.03B$1.6B$1.28B$1.05B$1.22B$1.43B
Other Liabilities$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0
Total Liabilities$14.04B$15.37B$15.28B$15.4B$16.03B$17.06B$17.25B$16.82B$17.61B$19.66B$22.18B$22.81B$13.63B$13.44B$12.35B$12.06B$12.01B$11.82B$11.42B$2.78B$2.37B$2.39B$2B$1.6B$1.34B$1.46B$1.67B
Stockholders' Equity
Preferred Stock$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0
Common Stock$1M$1M$1M$1M$1M$1M$1M$1M$1M$1M$1M$1M$960K$929K$915K$936K$940K$925K$966K$950K$945K$886K$997K$998K$994K$871K$566K
Retained Earnings-$3.57B-$4.08B-$3.56B-$3.43B-$3.48B-$3.71B-$4.22B-$3.54B-$2.76B-$299M$2.13B$1.98B$1.89B$1.74B$1.5B$1.3B$1.02B$776.25M$557.95M$527.66M$359.39M$191.85M$40.42M-$91.06M-$191.04M-$235.78M-$245.35M
Comprehensive Income & Other-$9M-$10M-$14M-$21M-$14M-$13M-$9M-$10M-$21M-$62M-$73M-$63M-$67.5M-$145.31M-$184.48M-$230.93M-$221.38M-$295.57M-$81.74M$5.8M$1.99M$6.05M-$105K-$8.33M$498K-$419K-$2.16M
Other Stockholders' Equity$2.18B$2.17B$2.17B$2.06B$2.1B$2.08B$2B$2.01B$1.99B$1.91B$1.88B$2.02B$1.18B$986.29M$894.85M$889.15M$930.3M$895.69M$1.15B$1.2B$1.2B$1.05B$1.31B$1.3B$1.31B$991.09M$474.49M
Total Equity-$1.39B-$1.91B-$1.39B-$1.37B-$1.37B-$1.63B-$2.22B-$1.53B-$767M$1.61B$4.02B$4B$3.07B$2.73B$2.4B$2.19B$1.95B$1.67B$1.71B$1.72B$1.56B$1.24B$1.35B$1.21B$1.12B$756.17M$229.71M
Minority Interest$557M$597M$568M$633M$562M$571M$579M$576M$602M$667M$657M$611M$422.05M$432.98M$463.09M$448.38M$64.78M$325.2M$366.13M$0$0$0$0$0$0$0$0
Total Liabilities and Equity$12.65B$13.46B$13.89B$14.04B$14.65B$15.44B$15.03B$15.28B$16.85B$21.28B$26.2B$26.81B$16.7B$16.17B$14.75B$14.25B$13.96B$13.49B$13.13B$4.51B$3.93B$3.63B$3.35B$2.81B$2.46B$2.21B$1.9B
Supplementary Data
Total Debt$11.58B$12.1B$12.17B$12.39B$12.82B$12.88B$14.03B$13.6B$13.91B$15.24B$17.05B$16.92B$9.45B$9.54B$8.85B$8.87B$8.91B$8.97B$9.1B$1.94B$1.67B$1.83B$1.47B$1.19B$1.04B$1.22B$1.43B
Net Debt$11.32B$12.06B$12.14B$12.27B$12.31B$11.21B$13.81B$13.4B$13.35B$15.01B$16.87B$16.41B$9.08B$9.15B$8.72B$8.57B$8.57B$8.75B$8.97B$1.9B$1.56B$1.75B$1.46B$1.06B$1.03B$1.21B$1.43B
Cash Flow Statement
PeriodFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016FY 2015FY 2014FY 2013FY 2012FY 2011FY 2010FY 2009FY 2008FY 2007FY 2006FY 2005FY 2004FY 2003FY 2002FY 2001FY 2000FY 1999
CurrencyUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSDUSD
Period Ending2025-12-312024-12-312023-12-312022-12-312021-12-312020-12-312019-12-312018-12-312017-12-312016-12-312015-12-312014-12-312013-12-312012-12-312011-12-312010-12-312009-12-312008-12-312007-12-312006-12-312005-12-312004-12-312003-12-312002-12-312001-12-312000-12-311999-12-31
Operating Activities
Net Income$676M-$516M-$133M$46M$230M$511M-$675M-$788M-$2.45B-$1.71B$194M$149M$141.2M$266.11M$260.22M$279.98M$241.58M$206.66M$59.9M$171.48M$190.14M$158.22M$131.47M$99.98M$44.74M$9.57M-$16.79M
Depreciation & Amortization$426M$486M$505M$534M$540M$558M$608M$700M$861M$1.1B$1.17B$1.19B$783M$726M$657.66M$609.84M$566.54M$506.69M$332.58M$188.77M$166.16M$158.38M$143.77M$118.22M$119.67M$97.62M$81.65M
Deferred Income Tax-$243M-$116M$35M$165M$170M-$187M$203M-$3M-$454M-$116M$103M$107M$69.28M$53.41M$107.03M$97.37M$34.27M$159.87M-$39.89M-$25.23M$9.89M$41.9M$61.57M$38.17M$25.28M$17.21M-$3.8M
Stock-Based Compensation$11M$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$13K$26K$44K$0$0
Changes in Working Capital:
  Accounts Receivable$99M-$66M-$193M$22M-$136M$309M$93M$31M$732M-$96M-$219M-$306M-$285.44M-$204.15M-$138.33M-$27.05M$58.39M-$57.44M$131.3M-$71.14M-$47.45M-$31.81M-$150.84M-$19.1M-$22.94M$0$0
  Inventory$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0-$4.54M-$16.84M-$13.55M-$13.73M-$12.57M$2M-$15.6M-$17.6M
  Accounts Payable-$36M$137M-$50M-$158M$16M-$67M-$157M$0$0$0$0$147M$72.47M$246.3M$246.11M$161.95M$86.1M$119.6M$125.96M$52.15M$84.96M-$23.29M$34.72M$26M-$26.95M$0$0
  Other Working Capital-$60M-$80M-$147M-$343M-$1.26B$1.08B-$207M-$449M-$207M-$81M-$599M-$55M$17.03M-$82.42M-$70.68M-$42.89M-$56.59M$30.96M-$15.45M$21.5M$24.98M$36.01M$34.42M$27.07M$8.73M-$80.86M-$68.72M
Total Working Capital Change$3M-$9M-$390M-$479M-$1.38B$1.32B-$271M-$418M$525M-$177M-$818M-$214M-$195.93M-$40.27M$37.1M$92.02M$87.9M$93.12M$241.81M-$2.04M$45.64M-$32.65M-$95.43M$21.4M-$39.16M-$96.46M-$86.32M
Other Non-Cash Items-$330M$635M$193M$34M$305M-$29M$520M$783M$2.29B$2.04B$268M$386M$291.16M$274.88M$199.89M$109.52M$146.14M$90.94M$93.35M$17.27M-$780K-$106K$2.31M$7.7M$3.81M-$5.03M-$570K
Net Cash from Operating$543M$480M$210M$300M-$131M$2.18B$385M$274M$773M$1.14B$921M$1.61B$1.09B$1.28B$1.26B$1.19B$1.08B$1.06B$687.74M$350.25M$411.05M$325.75M$243.7M$285.5M$154.39M$22.98M-$11.75M
Investing Activities
Capital Expenditures-$335M-$360M-$467M-$415M-$469M-$440M-$438M-$527M-$570M-$867M-$1.01B-$853M-$613.99M-$768.79M-$1.19B-$667.38M-$576.89M-$692.23M-$522.78M-$260.87M-$223.22M-$194.09M-$596.95M-$103.97M-$83.23M-$63.01M-$80.25M
Acquisitions$1.26B$152M$426M$126M$5M$665M$593M$359M$1.7B$139M$181M-$2.95B-$37.33M-$316.42M$184.55M-$239.85M-$170.24M$217.21M-$6.9B-$379.39M-$104.06M-$124.39M$0$0-$150.94M-$148.22M-$59.7M
Purchases of Investments-$139M-$149M-$213M-$193M-$291M-$228M-$250M-$219M-$268M-$747M-$367M-$774M$0-$297.99M-$188.25M$0$0$0$0$0$0$0$0$0$0$0$0
Sales of Investments$123M$80M$232M$110M$212M$194M$92M$114M$208M$867M$156M$229M$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0
Other Investing Activities-$62M$0$0$121M$0$0$0$0$0$0$0$0-$339.94M$0$0-$137.08M-$120.05M-$190.45M-$72.67M$0$0$0-$23.82M-$187.16M-$30.94M-$33.22M-$15.59M
Net Cash from Investing$847M-$277M-$22M-$251M-$543M$191M-$3M-$273M$1.07B-$608M-$1.04B-$4.35B-$991.27M-$1.38B-$1.2B-$1.04B-$867.18M-$665.47M-$7.5B-$640.26M-$327.27M-$318.48M-$620.77M-$291.14M-$265.11M-$244.44M-$155.54M
Financing Activities
Debt Repaid$1B$48M$123M$305M$369M$794M$322M$1.07B$1.52B$1.86B$158M-$2.88B$440.61M-$130.14M$92.65M$61.48M$58.26M$106.78M-$6.9B-$380.78M$26.84M-$357.06M-$275.16M-$137.34M$197.89M$284.25M-$165.41M
Common Stock Issuance$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$8.21M$14.57M$49.58M$9.9M$0$2.54M$309.06M$515.16M$2.21M
Common Stock Repurchases-$2M-$1M-$4M-$8M-$5M-$1M-$1M-$1M-$5M-$6M-$179M-$20M-$42.03M-$9.31M-$85.79M-$113.96M$0-$90.19M$0-$176.32M-$79.85M-$290.52M-$14.71M$0-$91K$0-$2.78M
Dividends Paid$0$0$0$0$0$0$0$0$0$0$0$0$0-$22.54M$0$0$0$0$0$0$0-$1.24M$0$0$0$0$0
Other Financing Activities-$165M-$155M-$141M-$125M-$121M-$114M-$39M$701M$5M$174M$106M-$48M$260.12M$241.88M-$75.91M-$71.27M-$39.87M-$108.87M-$4.43M$7.42M-$3.8M-$17.54M-$4.16M-$9.79M-$5.71M$0$0
Net Cash from Financing-$1.17B-$204M-$268M-$438M-$495M-$909M-$362M-$368M-$1.52B-$1.69B-$206M$2.87B-$111.86M$361.03M-$235.44M-$189.79M-$85.36M-$304.03M$6.9B$226.46M-$62.17M$58.9M$260.55M$130.1M$105.37M$230.91M$164.85M
Forex Effect$0$0$0$0$0$0$0$0$0$0$0-$403K$0$0$0$0$0$0$0$0$82.5M$0$0$0$0$0$0
Net Change in Cash$223M-$1M-$80M-$389M-$1.17B$1.46B$20M-$367M$325M$54M-$325M$136M-$14.41M$257.95M-$169.3M-$45.37M$123.89M$87.78M$92.31M-$63.54M$21.61M$66.17M-$116.51M$124.46M-$5.35M$9.46M-$2.44M
Supplementary Data
Operating Cash Flow$543M$480M$210M$300M-$131M$2.18B$385M$274M$773M$2.36B$921M$1.61B$1.09B$1.28B$1.26B$1.19B$1.08B$1.06B$687.74M$350.25M$411.05M$325.75M$243.7M$285.5M$154.39M$22.98M-$11.75M
Capital Expenditure-$335M-$360M-$467M-$415M-$469M-$440M-$438M-$527M-$570M-$867M-$1.01B-$853M-$613.99M-$768.79M-$1.19B-$667.38M-$576.89M-$692.23M-$522.78M-$224.52M-$188.37M-$164.29M-$596.95M-$103.97M-$83.23M-$63.01M-$80.25M
Free Cash Flow$208M$120M-$257M-$115M-$600M$1.74B-$53M-$253M$203M$1.49B-$89M$762M$474.73M$511.33M$69.83M$521.35M$499.54M$365.05M$164.95M$125.74M$222.68M$161.46M-$353.25M$181.52M$71.16M-$40.02M-$92M
Cash at Beginning$37M$38M$118M$507M$1.68B$216M$196M$563M$238M$184M$509M$373M$387.81M$129.87M$299.17M$344.54M$220.66M$132.87M$40.57M$104.11M$82.5M$16.33M$132.84M$8.39M$13.74M$4.28M$6.72M
Cash at End$260M$37M$38M$118M$507M$1.68B$216M$196M$563M$238M$184M$509M$373.4M$387.81M$129.87M$299.17M$344.54M$220.66M$132.87M$40.57M$104.11M$82.5M$16.33M$132.84M$8.39M$13.74M$4.28M