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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Operating cash flows:    
Net income before non-controlling interests $ 1,424 $ 1,252
Adjustments to reconcile net income provided by operations:    
Depreciation and amortization of fixed assets and capitalized software 99 84
Amortization of intangible assets 90 85
Non-cash lease expense 67 73
Adjustments and payments related to contingent consideration assets and liabilities (8) 8
Net gain on investments (1) (2)
Net (gain) loss on disposition of assets (19) 21
Share-based compensation expense 103 99
Changes in assets and liabilities:    
Net receivables (742) (775)
Other assets (70) (163)
Accrued compensation and employee benefits (1,779) (1,670)
Provision for taxes, net of payments and refunds 209 189
Contributions to pension and other benefit plans in excess of current year credit (88) (75)
Other liabilities 11 134
Operating lease liabilities (77) (79)
Net cash used by operations (781) (819) CloseClose
Financing cash flows:    
Purchase of treasury shares (300) (300)
Net proceeds from issuance of commercial paper 50 594
Borrowings from term-loan and credit facilities 0 250
Proceeds from issuance of debt 989 589
Repayments of debt (1,004) (4)
Shares withheld for taxes on vested units – treasury shares (169) (136)
Issuance of common stock from treasury shares 113 42
Payments of deferred and contingent consideration for acquisitions (15) (13)
Receipts of contingent consideration for dispositions 0 2
Distributions of non-controlling interests (4) (3)
Dividends paid (354) (296)
Change in fiduciary liabilities 829 48
Net cash provided by financing activities 135 773
Investing cash flows:    
Capital expenditures (87) (84)
Purchases of long term investments (10) (4)
Sales of long term investments 4 0
Dispositions 26 (20)
Acquisitions, net of cash and cash held in a fiduciary capacity acquired (301) (263)
Other, net 0 3
Net cash used for investing activities (368) (368) CloseClose
Effect of exchange rate changes on cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity (228) 152 CloseClose
Decrease in cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity (1,242) (262)
Cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity at beginning of period 14,152 12,102
Cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity at end of period 12,910 11,840
Cash and cash equivalents 1,452 1,006
Cash and cash equivalents held in a fiduciary capacity 11,458 10,834
Total cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity $ 12,910 $ 11,840