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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Cash flows from operating activities:    
Net income $ 324 $ 199
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 123 153
Provision for doubtful accounts 167 158
Deferred income tax benefit (4) (5)
Stock-based compensation expense 36 27
Gain on disposition of business (118) 0
Other, net 9 (5)
Changes in operating assets and liabilities:    
Accounts receivable (249) (163)
Accounts payable and accrued expenses 23 (42)
Income taxes payable 141 17
Other assets and liabilities, net 12 (2)
Net cash provided by operating activities 464 337
Cash flows from investing activities:    
Business acquisitions, net of cash acquired (135) (6)
Proceeds from sale of businesses 275 0
Capital expenditures (104) (117)
Increase in investments and other assets (9) 0
Net cash provided by (used in) investing activities 27 (123)
Cash flows from financing activities:    
Proceeds from borrowings 1,869 1,829
Repayments of debt (1,720) (1,821)
Purchases of treasury stock (390) (149)
Exercise of stock options 38 55
Employee payroll tax withholdings on stock issued under stock-based compensation plans (9) (6)
Dividends paid (111) (103)
Distributions to noncontrolling interests (19) (19)
Other financing activities, net 1 (42)
Net cash used in financing activities (341) (256)
Net change in cash and cash equivalents 150 (42)
Cash and cash equivalents, beginning of period 133 192
Cash and cash equivalents, end of period $ 283 $ 150