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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Cash flows from operating activities:    
Net income $ 542,767 $ 516,644
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 312,055 300,770
Debt refinancing charges 884 0
Impairment charges 0 41,037
Stock-based compensation expense 42,125 29,045
Deferred income taxes 132,101 60,706
Equity investment (loss) income, net (6,494) 2,631
Loss on sales of business interests, net 16,252 23,022
Other non-cash charges, net (5,885) 25,857
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:    
Accounts receivable 15,194 (288,437)
Inventories (696) 11,542
Other receivables and other current assets (131,988) (5,142)
Other long-term assets 1,950 (410)
Accounts payable (15,858) (68,887)
Accrued compensation and benefits (19,325) (88,473)
Other current liabilities 146,490 151,780
Income taxes (4,800) 57,551
Other long-term liabilities (13,269) (18,121)
Net cash provided by operating activities 1,011,503 751,115
Cash flows from investing activities:    
Additions of property and equipment (291,667) (373,918)
Acquisitions (44,267) (65,970)
Proceeds from asset and business sales 70,615 3,851,381
Purchase of debt investments held-to-maturity (142,483) (3,322)
Purchase of other debt and equity investments (3,034) (4,812)
Proceeds from debt investments held-to-maturity 7,621 0
Proceeds from sale of other debt and equity investments 3,438 5,893
Purchase of equity method investments (8,101) (6,715)
Distributions from equity method investments 739 155
Net cash (used in) provided by investing activities (407,139) 3,402,692
Cash flows from financing activities:    
Borrowings 2,324,300 32,367,300
Payments on long-term debt (635,695) (33,527,788)
Deferred financing and debt redemption costs (20,375) (3,621)
Purchase of treasury stock (321,798) (73,078)
Distributions to noncontrolling interests (118,553) (95,714)
Stock award exercises and other share issuances, net (2,106)  
Stock award exercises and other share issuances, net   2,107
Contributions from noncontrolling interests 20,582 31,281
Purchases of noncontrolling interests (6,782) (11,040)
Net cash provided by (used in) financing activities 1,239,573 (1,310,553)
Effect of exchange rate changes on cash, cash equivalents and restricted cash (16,936) (77)
Net increase in cash, cash equivalents and restricted cash 1,827,001 2,843,177
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year 1,208,718 415,420
Cash, cash equivalents and restricted cash of continuing operations at end of the year 3,035,719 3,682,410
Discontinued Operations    
Cash flows from financing activities:    
Net increase in cash, cash equivalents and restricted cash 0 (423,813)
Continuing Operations    
Cash flows from financing activities:    
Net increase in cash, cash equivalents and restricted cash $ 1,827,001 $ 3,266,990