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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Cash flows from operating activities:    
Net income $ 175 $ 115
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 62 62
Provision for doubtful accounts 84 86
Deferred income tax provision 11 8
Stock-based compensation expense 17 18
Other, net 1 1
Changes in operating assets and liabilities:    
Accounts receivable (117) (145)
Accounts payable and accrued expenses (95) (69)
Income taxes payable 63 62
Other assets and liabilities, net (5) 15
Net cash provided by operating activities 196 153
Cash flows from investing activities:    
Business acquisitions, net of cash acquired (1) (135)
Escrow proceeds associated with disposition of business 25 0
Capital expenditures (42) (47)
Increase in investments and other assets (4) (8)
Net cash used in investing activities (22) (190)
Cash flows from financing activities:    
Proceeds from borrowings 0 665
Repayments of debt (2) (453)
Purchases of treasury stock (150) (115)
Exercise of stock options 46 7
Employee payroll tax withholdings on stock issued under stock-based compensation plans (22) (8)
Dividends paid (62) (55)
Distributions to noncontrolling interests (9) (9)
Other financing activities, net 33 0
Net cash (used in) provided by financing activities (166) 32
Net change in cash and cash equivalents 8 (5)
Cash and cash equivalents, beginning of period 359 133
Cash and cash equivalents, end of period $ 367 $ 128