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Supplementary Cash Flow Information (Tables)
3 Months Ended
Mar. 31, 2014
Supplementary Cash Flow Information (Tables) [Abstract]  
Schedule of supplemental Cash Flow information
  Three months ended March 31,
  2014 2013
Supplementary cash flow information:     
 Cash paid for interest$164,393 $165,596
 Cash paid for income taxes (1)$83,138 $59,708
 Cash inflow for income taxes from stock option exercises$545 $522
       
Supplemental disclosures of cash flow information:     
 Details for acquisitions:     
 Assets acquired$(31,589) $(69,485)
 Liabilities assumed 2,251  3,334
 Noncontrolling interest subject to put provisions  -   6,294
 Noncontrolling interest 288  4,527
 Obligations assumed in connection with acquisition 7,569  3,690
 Cash paid (21,481)  (51,640)
 Less cash acquired 105  2,530
 Net cash paid for acquisitions (21,376)  (49,110)
 Cash paid for investments (112,848)  (22,185)
 Cash paid for intangible assets (2,933)  (919)
 Total cash paid for acquisitions and investments, net of cash acquired, and purchases of intangible assets$(137,157) $(72,214)
       
 (1) Net of tax refund.