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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Operating Activities:    
Net income $ 1,339 $ 1,659
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation 61 63
Amortization of intangibles 73 71
Provision for losses on accounts receivable 17 10
Stock-based compensation 65 54
Gain on disposition 0 (722)
Other 42 48
Changes in operating assets and liabilities, net of effect of acquisitions and dispositions:    
Accounts receivable (64) (26)
Prepaid and other current assets 3 5
Accounts payable and accrued expenses (50) (81)
Unearned revenue (107) (6)
Accrued legal settlements (4) (134)
Other current liabilities (94) (10)
Net change in prepaid/accrued income taxes (42) 383
Net change in other assets and liabilities (36) (57)
Cash provided by operating activities 1,203 1,257
Investing Activities:    
Capital expenditures (77) (67)
Acquisitions, net of cash acquired (80) (145)
Proceeds from dispositions 2 1,071
Changes in short-term investments 0 (1)
Cash (used for) provided by investing activities (155) 858
Financing Activities:    
Payments on short-term debt, net 0 (143)
Proceeds from issuance of senior notes, net 0 493
Dividends paid to shareholders (316) (286)
Distributions to noncontrolling interest holders (69) (59)
Contingent consideration payments 0 (15)
Repurchase of treasury shares (846) (1,123)
Exercise of stock options 69 84
Employee withholding tax on share-based payments (49) (55)
Cash used for financing activities (1,211) (1,104)
Effect of exchange rate changes on cash from continuing operations 83 (93)
Net change in cash and cash equivalents (80) 918
Cash and cash equivalents at beginning of period 2,392 1,481
Cash and cash equivalents at end of period $ 2,312 $ 2,399