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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Cash flows from operating activities:    
Net income $ 531,551 $ 661,910
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 289,878 390,244
Impairment charges 14,351 100,483
Stock-based compensation expense 19,861 17,504
Deferred income taxes 56,882 40,938
Equity investment income, net (434) 9,367
Gain on sales of business interests, net (59,053) (6,273)
Other non-cash charges, net 44,337 28,611
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:    
Accounts receivable (101,746) (113,208)
Inventories 71,632 (31,067)
Other receivables and other current assets (91,685) (108,852)
Other long-term assets 3,454 (12,124)
Accounts payable 35,228 (55,897)
Accrued compensation and benefits 23,818 (63,727)
Other current liabilities 58,321 13,991
Income taxes 24,356 123,637
Other long-term liabilities 3,824 19,520
Net cash provided by operating activities 924,575 1,015,057
Cash flows from investing activities:    
Additions of property and equipment (473,977) (398,940)
Acquisitions (89,465) (619,839)
Proceeds from asset and business sales 116,241 70,236
Purchase of investments available for sale (4,195) (6,812)
Purchase of investments held-to-maturity (3,726) (220,591)
Proceeds from sale of investments available for sale 5,662 5,049
Proceeds from investments held-to-maturity 32,628 320,484
Purchase of equity investments (10,241) (1,194)
Distributions received on equity investments 3,009 0
Net cash used in investing activities (424,064) (851,607)
Cash flows from financing activities:    
Borrowings 28,128,131 25,529,555
Payments on long-term debt and other financing costs (27,556,348) (25,593,587)
Purchase of treasury stock (805,179) (231,674)
Stock award exercises and other share issuances, net 3,132 8,163
Distributions to noncontrolling interests (94,006) (116,075)
Contributions from noncontrolling interests 31,569 39,872
Proceeds from sales of additional noncontrolling interests 15 0
Purchases of noncontrolling interests (13,223) (1,432)
Net cash used in financing activities (305,909) (365,178)
Effect of exchange rate changes on cash, cash equivalents and restricted cash (3,473) 4,192
Net decrease in cash, cash equivalents and restricted cash from continuing operations 191,129 (197,536)
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year 518,920 683,463
Cash, cash equivalents and restricted cash of continuing operations at end of the period 480,148 453,207
Discontinued Operations    
Cash flows from financing activities:    
Net decrease in cash, cash equivalents and restricted cash from continuing operations 229,901 32,720
Continuing Operations    
Cash flows from financing activities:    
Net decrease in cash, cash equivalents and restricted cash from continuing operations $ (38,772) $ (230,256)