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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Cash flows from operating activities:    
Net income $ 382 $ 324
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 128 123
Provision for doubtful accounts 165 167
Deferred income tax provision 79 (4)
Stock-based compensation expense 37 36
Gain on disposition of business 0 (118)
Other, net (8) 9
Changes in operating assets and liabilities:    
Accounts receivable (185) (249)
Accounts payable and accrued expenses (93) 23
Income taxes payable (3) 141
Other assets and liabilities, net (12) 12
Net cash provided by operating activities 490 464
Cash flows from investing activities:    
Business acquisitions, net of cash acquired (112) (135)
Disposition of businesses 1 275
Escrow proceeds associated with disposition of business 25 0
Capital expenditures (107) (104)
Decrease (increase) in investments and other assets 1 (9)
Net cash (used in) provided by investing activities (192) 27
Cash flows from financing activities:    
Proceeds from borrowings 0 1,869
Repayments of debt (3) (1,720)
Purchases of treasury stock (300) (390)
Exercise of stock options 97 38
Employee payroll tax withholdings on stock issued under stock-based compensation plans (23) (9)
Dividends paid (124) (111)
Distributions to noncontrolling interests (20) (19)
Other financing activities, net 30 1
Net cash used in financing activities (343) (341)
Net change in cash and cash equivalents (45) 150
Cash and cash equivalents, beginning of period 359 133
Cash and cash equivalents, end of period $ 314 $ 283