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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2015
Jun. 30, 2014
Cash flows from operating activities:    
Net income $ 199 $ 253
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 153 156
Provision for doubtful accounts 158 148
Deferred income tax benefit (5) (26)
Stock-based compensation expense 27 25
Excess tax benefits from stock-based compensation arrangements (3) 0
Other, net (5) (2)
Changes in operating assets and liabilities:    
Accounts receivable (163) (191)
Accounts payable and accrued expenses (49) (39)
Income taxes payable 17 44
Other assets and liabilities, net (2) (4)
Net cash provided by operating activities 327 364
Cash flows from investing activities:    
Business acquisitions, net of cash acquired (6) (723)
Capital expenditures (117) (117)
Increase in investments and other assets 0 (1)
Net cash used in investing activities (123) (841)
Cash flows from financing activities:    
Proceeds from borrowings 1,829 1,738
Repayments of debt (1,821) (1,159)
Purchases of treasury stock (149) (57)
Exercise of stock options 55 30
Excess tax benefits from stock-based compensation arrangements 3 0
Dividends paid (103) (91)
Distributions to noncontrolling interests (19) (14)
Other financing activities, net (41) (13)
Net cash (used in) provided by financing activities (246) 434
Net change in cash and cash equivalents (42) (43)
Cash and cash equivalents, beginning of period 192 187
Cash and cash equivalents, end of period $ 150 $ 144