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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Millions, unless otherwise specified
6 Months Ended
Jun. 30, 2014
Jun. 30, 2013
Cash flows from operating activities:    
Net income $ 253 $ 318
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 156 142
Provision for doubtful accounts 148 139
Deferred income tax benefit (26) (11)
Stock-based compensation expense 25 17
Excess tax benefits from stock-based compensation arrangements 0 (3)
Gain on sale of business 0 (22)
Other, net (2) (1)
Changes in operating assets and liabilities:    
Accounts receivable (191) (213)
Accounts payable and accrued expenses (39) (68)
Income taxes payable 44 (35)
Other assets and liabilities, net (4) (8)
Net cash provided by operating activities 364 255
Cash flows from investing activities:    
Business acquisitions, net of cash acquired (723) (180)
Proceeds from sale of businesses 0 266
Capital expenditures (117) (105)
Increase in investments and other assets (1) 0
Net cash used in investing activities (841) (19)
Cash flows from financing activities:    
Proceeds from borrowings 1,738 578
Repayments of debt (1,159) (415)
Purchases of treasury stock (57) (512)
Exercise of stock options 30 63
Excess tax benefits from stock-based compensation arrangements 0 3
Dividends paid (91) (95)
Distributions to noncontrolling interests (14) (13)
Other financing activities, net (13) (10)
Net cash provided by (used in) financing activities 434 (401)
Net change in cash and cash equivalents (43) (165)
Change in cash and cash equivalents included in assets held for sale 0 17
Cash and cash equivalents, beginning of period 187 296
Cash and cash equivalents, end of period $ 144 $ 148