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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS    
Net income $ 34 $ 76
Adjustments to reconcile net income to net cash provided by (used in) operating activities:    
Depreciation and amortization 212 207
Provision for doubtful accounts 376 363
Deferred income tax expense 31 12
Stock-based compensation expense 16 15
Impairment and restructuring charges, and acquisition-related costs 28 29
Litigation and investigation costs 173 3
Gains on sales, consolidation and deconsolidation of facilities (147)  
Equity in earnings of unconsolidated affiliates, net of distributions received 12 (4)
Amortization of debt discount and debt issuance costs 10 7
Pre-tax loss (income) from discontinued operations 5 (2)
Other items, net 2 (4)
Changes in cash from operating assets and liabilities:    
Accounts receivable (453) (484)
Inventories and other current assets (18) (74)
Income taxes 28 8
Accounts payable, accrued expenses and other current liabilities (114) (200)
Other long-term liabilities 24 28
Payments for restructuring charges, acquisition-related costs, and litigation costs and settlements (69) (33)
Net cash used in operating activities from discontinued operations, excluding income taxes (3) (4)
Net cash provided by (used in) operating activities 147 (57)
Cash flows from investing activities:    
Purchases of property and equipment - continuing operations (208) (184)
Purchases of businesses or joint venture interests, net of cash acquired (29) (11)
Proceeds from sales of facilities and other assets 573  
Proceeds from sales of marketable securities, long-term investments and other assets 12 6
Purchases of equity investments (18)  
Other long-term assets (10) 2
Net cash provided by (used in) investing activities 320 (187)
Cash flows from financing activities:    
Repayments of borrowings under credit facility (995) (690)
Proceeds from borrowings under credit facility 995 820
Repayments of other borrowings (38) (32)
Proceeds from other borrowings 1 401
Debt issuance costs   (4)
Distributions paid to noncontrolling interests (44) (11)
Contributions from noncontrolling interests   2
Purchase of noncontrolling interest   (254)
Proceeds from exercise of stock options   7
Other items, net (14) (3)
Net cash provided by (used in) financing activities (95) 236
Net increase (decrease) in cash and cash equivalents 372 (8)
Cash and cash equivalents at beginning of period 356 193
Cash and cash equivalents at end of period 728 185
Supplemental disclosures:    
Interest paid, net of capitalized interest (132) (117)
Income tax payments, net $ (6) $ 1