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Supplemental Disclosures to the Consolidated Statements of Cash Flows (Narrative) (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Supplemental Cash Flow Information [Abstract]    
Deferred and contingent consideration from prior years acquisition $ 29 $ 70
Deferred purchase consideration from prior years' acquisitions 23 40
Contingent consideration from prior year's acquisitions 6 30
Net charge for adjustments related to acquisition related accounts 11 5
Payment of contingent consideration 29 10
Non-cash issuance of common stock 158 125
Stock-based compensation expense, equity awards 57 50
Proceeds from issuance of debt 6,462 $ 592
Interest income 25  
Acquisition-related hedging payments 129  
Right-of-use asset, noncash 1,700  
Right-to-use liability, noncash $ 1,900