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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Operating Activities    
Net income including noncontrolling interests $ 600 $ 678
Adjustments to reconcile net income including noncontrolling interests to net cash provided by operations:    
Depreciation and amortization 128 129
Restructuring and termination benefits, net of cash 5 (25)
Stock-based compensation expense 17 28
Deferred income taxes 53 13
Voluntary benefit plan contributions (102) 0
Cash effects of changes in:    
Receivables (145) (211)
Inventories (32) (33)
Accounts payable and other accruals 44 33
Other non-current assets and liabilities 37 4
Net cash provided by operations 605 616
Investing Activities    
Capital expenditures (71) (118)
Purchases of marketable securities and investments (27) (38)
Payment for acquisitions, net of cash acquired 0 (727)
Other 0 2
Net cash used in investing activities (98) (881)
Financing Activities    
Principal payments on debt (1,774) (2,079)
Proceeds from issuance of debt 2,076 2,226
Dividends paid (366) (352)
Purchases of treasury shares (399) (351)
Proceeds from exercise of stock options 71 119
Net cash used in financing activities (392) (437)
Effect of exchange rate changes on Cash and cash equivalents 2 18
Net increase (decrease) in Cash and cash equivalents 117 (684)
Cash and cash equivalents at beginning of the period 726 1,535
Cash and cash equivalents at end of the period 843 851
Supplemental Cash Flow Information    
Income taxes paid $ 149 $ 163