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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Operating Activities:    
Net income $ 2,154 $ 1,435
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation 48 49
Amortization of intangibles 531 522
Provision for losses on accounts receivable 29 12
Deferred income taxes (162) (384)
Stock-based compensation 82 97
Loss on dispositions, net 0 69
Other 105 44
Changes in operating assets and liabilities, net of effect of acquisitions and dispositions:    
Accounts receivable 106 (44)
Prepaid and other current assets (25) (164)
Accounts payable and accrued expenses (328) (93)
Unearned revenue (74) 39
Other current liabilities (210) (305)
Net change in prepaid/accrued income taxes 241 123
Net change in other assets and liabilities 7 (37)
Cash provided by operating activities 2,504 1,363 Close
Investing Activities:    
Capital expenditures (56) (59)
Acquisitions, net of cash acquired (261) (286)
Proceeds from dispositions, net (4) 1,002
Changes in short-term investments 2 (1)
Cash (used for) provided by investing activities (319) 656 Close
Financing Activities:    
Additions to short-term debt, net 0 552
Payments on senior notes (47) 0
Dividends paid to shareholders (572) (578)
Distributions to noncontrolling interest holders, net (133) (140)
Contingent consideration payments (104) (8)
Repurchase of treasury shares (500) (1,501)
Exercise of stock options 4 7
Employee withholding tax on share-based payments (53) (79)
Cash used for financing activities (1,405) (1,747) Close
Effect of exchange rate changes on cash (32) 3 Close
Net change in cash, cash equivalents, and restricted cash 748 275 Close
Cash, cash equivalents, and restricted cash at beginning of period 1,291 1,287
Cash, cash equivalents, and restricted cash at end of period $ 2,039 $ 1,562