Date:2/3/2009

3,130 Depreciation and amortization 1,416 1,426 Income taxes (448) (105) Gains on sales of facilities (97) (471) Impairment of long-lived assets 64 24 Change in operating assets and liabilities (3,367) (3,615) Change in minority interests 36 40 Share-based compensation 32 24 Other 79 69 Net cash provided by operating activities 1,797 1,396 Cash flows from investing activities: Purchase of property and equipment (1,600) (1,444) Acquisition of hospitals and health care entities (85) (32) Disposition of hospitals and health care entities 193 767 Change in investments 21 207 Other 4 23 Net cash used in investing activities (1,467) (479) Cash flows from financing activities: Net change in revolving bank credit facility 700 (520) Repayment of long-term debt (960) (750) Issuance of common stock -- 100 Other 2 12 Net cash used in financing activities (258) (1,158) Change in cash and cash equivalents 72 (241) Cash and cash equivalents at beginning of period 393 634 Cash and cash equivalents at end of period $465 $393 Interest payments
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