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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Operating cash flows:    
Net income before non-controlling interests $ 1,482 $ 1,354
Adjustments to reconcile net income to cash provided by operations:    
Depreciation and amortization of fixed assets and capitalized software 234 231
Amortization of intangible assets 122 99
Adjustments and payments related to contingent consideration liability (30) (37)
Gain on deconsolidation of subsidiary 0 (12)
Provision for deferred income taxes 52 43
(Gain) loss on investments (3) 2
Loss on disposition of assets 9 3
Share-based compensation expense 111 84
Changes in assets and liabilities:    
Net receivables (248) (162)
Other current assets (14) (20)
Other assets (18) (2)
Accounts payable and accrued liabilities 11 (29)
Accrued compensation and employee benefits (278) (349)
Accrued income taxes 77 65
Contributions to pension and other benefit plans in excess of current year expense/credit (337) (214)
Other liabilities 83 (3)
Effect of exchange rate changes (116) 59
Net cash provided by operations 1,137 1,112
Financing cash flows:    
Purchase of treasury shares (600) (625)
Proceeds from debt 987 347
Repayments of debt (313) (9)
Shares withheld for taxes on vested units – treasury shares (49) (38)
Issuance of common stock from treasury shares 134 154
Payments of deferred and contingent consideration for acquisitions (127) (96)
Distributions of non-controlling interests (14) (12)
Dividends paid (545) (504)
Net cash used for financing activities (527) (783)
Investing cash flows:    
Capital expenditures (217) (174)
Net sales (purchases) of long-term investments (21) (4)
Proceeds from sales of fixed assets 4 5
Acquisitions (629) (88)
Other, net 4 3
Net cash used for investing activities (859) (258)
Effect of exchange rate changes on cash and cash equivalents 301 (57)
Increase in cash and cash equivalents 52 14
Cash and cash equivalents at beginning of period 1,026 1,374
Cash and cash equivalents at end of period $ 1,078 $ 1,388