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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Operating cash flows:    
Net income before non-controlling interests $ 1,255 $ 1,198
Adjustments to reconcile net income to cash provided by operations:    
Depreciation and amortization of fixed assets and capitalized software 233 225
Amortization of intangible assets 79 64
Adjustments and payments related to contingent consideration liability 15 5
Provision for deferred income taxes 214 103
Gain on investments (39) (37)
Loss on disposition of assets 3 4
Share-based compensation expense 67 74
Changes in assets and liabilities:    
Net receivables (118) (182)
Other current assets 43 (19)
Other assets (65) 16
Accounts payable and accrued liabilities (96) (53)
Accrued compensation and employee benefits (319) (128)
Accrued income taxes (68) 59
Contributions to pension and other benefit plans in excess of current year expense/credit (178) (141)
Other liabilities (99) (75)
Effect of exchange rate changes 53 28
Net cash provided by operations 980 1,141
Financing cash flows:    
Purchase of treasury shares (1,325) (600)
Proceeds from debt 1,099 1,393
Repayments of debt (8) (327)
Shares withheld for taxes on vested units – treasury shares (48) (56)
Issuance of common stock from treasury shares 179 190
Payments of deferred and contingent consideration for acquisitions (42) (28)
Distributions of non-controlling interests (17) (13)
Dividends paid (468) (429)
Net cash (used for) provided by financing activities (630) 130
Investing cash flows:    
Capital expenditures (249) (285)
Net purchases of long-term investments (63) (117)
Proceeds from sales of fixed assets 2 2
Acquisitions (431) (416)
Other, net (2) 0
Net cash used for investing activities (743) (816)
Effect of exchange rate changes on cash and cash equivalents (235) (109)
(Decrease) increase in cash and cash equivalents (628) 346
Cash and cash equivalents at beginning of period 1,958 2,303
Cash and cash equivalents at end of period $ 1,330 $ 2,649