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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Operating Activities:    
Net income $ 3,200 $ 2,249
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation 70 71
Amortization of intangibles 803 782
Provision for losses on accounts receivable 36 19
Deferred income taxes (271) (430)
Stock-based compensation 177 143
(Gain) loss on dispositions, net (21) 69
Other (15) 151
Changes in operating assets and liabilities, net of effect of acquisitions and dispositions:    
Accounts receivable 188 (64)
Prepaid and other current assets (14) (128)
Accounts payable and accrued expenses (131) (120)
Unearned revenue (209) (71)
Other current liabilities (399) (313)
Net change in prepaid/accrued income taxes 314 62
Net change in other assets and liabilities 221 (44)
Cash provided by operating activities 3,949 2,376 Close
Investing Activities:    
Capital expenditures (91) (95)
Acquisitions, net of cash acquired (264) (293)
Proceeds from dispositions, net 94 1,004
Changes in short-term investments (1) (9)
Cash (used for) provided by investing activities (262) 607 Close
Financing Activities:    
Payments on short-term debt, net 0 (188)
Proceeds from issuance of senior notes, net 0 744
Payments on senior notes (47) 0
Dividends paid to shareholders (854) (864)
Distributions to noncontrolling interest holders, net (213) (211)
Contingent consideration payments (107) (8)
Repurchase of treasury shares (2,001) (2,001)
Employee withholding tax on share-based payments and other (58) (74)
Cash used for financing activities (3,280) (2,602) Close
Effect of exchange rate changes on cash (1) (22) Close
Net change in cash, cash equivalents, and restricted cash 406 359 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 $ 1,697 $ 1,646