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Significant Accounting Policies - New Accounting Pronouncements (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents [Abstract]            
Cash and cash equivalents       $ 4,059 $ 1,696 $ 3,371
Restricted cash (included in other current assets)       6 14 0
Restricted cash (included in other assets)       230 190 149
Total cash, cash equivalents and restricted cash at the end of the period in the statement of cash flows $ 4,295 $ 3,520 $ 3,520 $ 4,295 1,900 3,520
Consolidated Statement of Cash Flow:            
Acquisitions (net of cash acquired) (42,226) (1,181) (524)      
Net cash used in investing activities (43,285) (2,877) (2,470)      
Net decrease in cash, cash equivalents and restricted cash 2,395 (1,620) 912      
Cash, cash equivalents and restricted cash at the end of the period 1,900 3,520 2,608      
Cash, cash equivalents and restricted cash at the end of the period 4,295 1,900 3,520      
Accounting Standards Update 2016-18 | As Previously Reported            
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents [Abstract]            
Total cash, cash equivalents and restricted cash at the end of the period in the statement of cash flows 1,696 3,371 3,371   1,696 3,371
Consolidated Statement of Cash Flow:            
Acquisitions (net of cash acquired)   (1,236) (524)      
Net cash used in investing activities   (2,932) (2,470)      
Net decrease in cash, cash equivalents and restricted cash   (1,675) 912      
Cash, cash equivalents and restricted cash at the end of the period 1,696 3,371 2,459      
Cash, cash equivalents and restricted cash at the end of the period   1,696 3,371      
Accounting Standards Update 2016-18 | Adjustments            
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents [Abstract]            
Total cash, cash equivalents and restricted cash at the end of the period in the statement of cash flows 204 149 149   $ 204 $ 149
Consolidated Statement of Cash Flow:            
Acquisitions (net of cash acquired)   55        
Net cash used in investing activities   55        
Net decrease in cash, cash equivalents and restricted cash   55 0      
Cash, cash equivalents and restricted cash at the end of the period $ 204 149 149      
Cash, cash equivalents and restricted cash at the end of the period   $ 204 $ 149