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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Operating cash flows:    
Net income before non-controlling interests $ 3,037 $ 2,616
Adjustments to reconcile net income provided by operations:    
Depreciation and amortization of fixed assets and capitalized software 270 259
Amortization of intangible assets 257 258
Non-cash lease expense 215 223
Adjustments and payments related to contingent consideration assets and liabilities (19) 0
Deconsolidation of Russian businesses 0 39
Net gain on investments (6) (27)
Net loss (gain) on disposition of assets 18 (112)
Share-based compensation expense 273 283
Changes in assets and liabilities:    
Net receivables (670) (745)
Other assets (98) (14)
Accrued compensation and employee benefits (458) (451)
Provision for taxes, net of payments and refunds 242 156
Contributions to pension and other benefit plans in excess of current year credit (246) (306)
Other liabilities (103) 28
Operating lease liabilities (237) (244)
Net cash provided by operations 2,475 1,963 Close
Financing cash flows:    
Purchase of treasury shares (900) (1,600)
Net proceeds from issuance of commercial paper 0 600
Issuance of commercial paper with maturity greater than 90 days 146 0
Repayment of commercial paper with maturity greater than 90 days (146) 0
Proceeds from issuance of debt 2,170 0
Repayments of debt (12) (14)
Purchase of non-controlling interests (139) 0
Shares withheld for taxes on vested units – treasury shares (145) (194)
Issuance of common stock from treasury shares 165 89
Payments of deferred and contingent consideration for acquisitions (187) (144)
Receipts of contingent consideration for dispositions 2 3
Distributions of non-controlling interests (18) (20)
Dividends paid (944) (840)
Change in fiduciary liabilities 1,223 2,148
Net cash provided by financing activities 1,215 28
Investing cash flows:    
Capital expenditures (296) (367)
Purchases of long term investments (44) (19)
Sales of long term investments 18 84
Dispositions (18) 138
Acquisitions, net of cash and cash held in a fiduciary capacity acquired (619) (213)
Other, net 16 14
Net cash used for investing activities (943) (363) Close
Effect of exchange rate changes on cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity (120) (1,592) Close
Increase in cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity 2,627 36 Close
Cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity at beginning of period 12,102 11,374
Cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity at end of period 14,729 11,410
Cash and cash equivalents 2,901 802
Cash and cash equivalents held in a fiduciary capacity 11,828 10,608
Total cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity $ 14,729 $ 11,410