Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Operating cash flows:
Net income before non-controlling interests	$ 1,511	$ 1,482
Adjustments to reconcile net income to cash provided by operations:
Depreciation and amortization of fixed assets and capitalized software	236	234
Amortization of intangible assets	135	122
Adjustments and payments related to contingent consideration liability	(10)	(30)
Provision for deferred income taxes	66	52
Loss (gain) on investments	24	(3)
(Gain) loss on disposition of assets	(53)	9
Share-based compensation expense	146	111
Change in fair value of acquisition related FX contract	100	0
Changes in assets and liabilities:
Net receivables	(210)	(248)
Other current assets	19	(14)
Other assets	(51)	(18)
Accounts payable and accrued liabilities	(3)	11
Accrued compensation and employee benefits	(312)	(278)
Accrued income taxes	(13)	77
Contributions to pension and other benefit plans in excess of current year expense/credit	(250)	(337)
Other liabilities	11	83
Effect of exchange rate changes	(27)	(116)
Net cash provided by operations	1,319	1,137
Financing cash flows:
Purchase of treasury shares	(675)	(600)
Net increase in commercial paper	75	0
Proceeds from issuance of debt	592	987
Repayments of debt	(10)	(313)
Payment of bridge loan fees	(24)	0
Shares withheld for taxes on vested units – treasury shares	(62)	(49)
Issuance of common stock from treasury shares	72	134
Payments of deferred and contingent consideration for acquisitions	(106)	(127)
Distributions of non-controlling interests	(15)	(14)
Dividends paid	(594)	(545)
Net cash used for financing activities	(747)	(527)
Investing cash flows:
Capital expenditures	(222)	(217)
Net purchases of long-term investments	(1)	(21)
Proceeds from sales of fixed assets	3	4
Dispositions	5	0
Acquisitions	(536)	(629)
Other, net	(1)	4
Net cash used for investing activities	(752)	(859)
Effect of exchange rate changes on cash and cash equivalents	(74)	301
Decrease in cash and cash equivalents	(254)	52
Cash and cash equivalents at beginning of period	1,205	1,026
Cash and cash equivalents at end of period	$ 951	$ 1,078