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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
Cash flows from operating activities:    
Net income $ 111 $ 144
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 75 70
Provision for doubtful accounts 75 72
Deferred income tax benefit (10) 0
Stock-based compensation expense 12 5
Excess tax benefits from stock-based compensation arrangements 0 (1)
Other, net (2) (1)
Changes in operating assets and liabilities:    
Accounts receivable (152) (132)
Accounts payable and accrued expenses (86) (77)
Income taxes payable 70 (29)
Other assets and liabilities, net (9) (4)
Net cash provided by operating activities 84 47
Cash flows from investing activities:    
Business acquisitions, net of cash acquired (567) (90)
Capital expenditures (68) (49)
Increase in investments and other assets (1) (1)
Net cash used in investing activities (636) (140)
Cash flows from financing activities:    
Proceeds from borrowings 1,513 176
Repayments of debt (923) (132)
Purchases of treasury stock (32) (62)
Exercise of stock options 12 14
Excess tax benefits from stock-based compensation arrangements 0 1
Dividends paid (43) (48)
Distributions to noncontrolling interests (3) (3)
Other financing activities, net (15) (6)
Net cash provided by (used in) financing activities 509 (60)
Net change in cash and cash equivalents (43) (153)
Change in cash and cash equivalents included in assets held for sale 0 (9)
Cash and cash equivalents, beginning of period 187 296
Cash and cash equivalents, end of period $ 144 $ 134