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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Operating cash flows:    
Net income before non-controlling interests $ 1,354 $ 1,255
Adjustments to reconcile net income to cash provided by operations:    
Depreciation and amortization of fixed assets and capitalized software 231 233
Amortization of intangible assets 99 79
Adjustments and payments related to contingent consideration liability (37) 15
Gain on deconsolidation of subsidiary (12) 0
Provision for deferred income taxes 43 214
Loss (gain) on investments 2 (39)
Loss on disposition of assets 3 3
Share-based compensation expense 84 67
Changes in assets and liabilities:    
Net receivables (162) (118)
Other current assets (20) (10)
Other assets (2) (11)
Accounts payable and accrued liabilities (29) (96)
Accrued compensation and employee benefits (349) (319)
Accrued income taxes 65 (61)
Contributions to pension and other benefit plans in excess of current year expense/credit (214) (178)
Other liabilities (3) (98)
Effect of exchange rate changes 59 53
Net cash provided by operations 1,112 989
Financing cash flows:    
Purchase of treasury shares (625) (1,325)
Proceeds from debt 347 1,090
Repayments of debt (9) (8)
Shares withheld for taxes on vested units – treasury shares (38) (48)
Issuance of common stock from treasury shares 154 179
Payments of deferred and contingent consideration for acquisitions (96) (42)
Distributions of non-controlling interests (12) (17)
Dividends paid (504) (468)
Net cash used for financing activities (783) (639)
Investing cash flows:    
Capital expenditures (174) (249)
Net purchases of long-term investments (4) (63)
Proceeds from sales of fixed assets 5 2
Acquisitions (88) (431)
Other, net 3 (2)
Net cash used for investing activities (258) (743)
Effect of exchange rate changes on cash and cash equivalents (57) (235)
Increase (decrease) in cash and cash equivalents 14 (628)
Cash and cash equivalents at beginning of period 1,374 1,958
Cash and cash equivalents at end of period $ 1,388 $ 1,330