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Supplementary Cash Flow Information (Tables)
3 Months Ended
Mar. 31, 2013
Supplementary Cash Flow Information (Tables) [Abstract]  
Schedule of supplemental Cash Flow information
  Three months ended March 31,
  2013 2012
Supplementary cash flow information:     
 Cash paid for interest$165,596 $124,210
 Cash paid for income taxes (1)$59,708 $12,875
 Cash inflow for income taxes from stock option exercises$522 $583
       
Supplemental disclosures of cash flow information:     
 Details for acquisitions:     
 Assets acquired$(69,485) $(2,345,375)
 Liabilities assumed 3,334  299,947
 Noncontrolling interest subject to put provisions 6,294  53,900
 Noncontrolling interest 4,527  130,000
 Obligations assumed in connection with acquisition 3,690  652
 Cash paid (51,640)  (1,860,876)
 Less cash acquired 2,530  159,277
 Net cash paid for acquisitions (49,110)  (1,701,599)
 Cash paid for investments (22,185)   -
 Cash paid for intangible assets  (919)  (1,203)
 Total cash paid for acquisitions and investments, net of cash acquired, and purchases of intangible assets$(72,214) $(1,702,802)
       
 (1) Net of tax refund.