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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Cash flows from operating activities:    
Net income $ 685 $ 703
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 358 330
Provision for credit losses 4 0
Deferred income tax benefit (21) (39)
Stock-based compensation expense 61 58
Other, net 17 12
Changes in operating assets and liabilities:    
Accounts receivable (140) (86)
Accounts payable and accrued expenses (102) (231)
Income taxes payable 31 0
Other assets and liabilities, net (23) (2)
Net cash provided by operating activities 870 745
Cash flows from investing activities:    
Business acquisitions, net of cash acquired (1,781) (611)
Capital expenditures (302) (336)
Other investing activities, net 37 0
Net cash used in investing activities (2,046) (947)
Cash flows from financing activities:    
Proceeds from borrowings 1,846 1,703
Repayments of debt (302) (1,426)
Exercise of stock options 52 60
Employee payroll tax withholdings on stock issued under stock-based compensation plans (24) (28)
Dividends paid (247) (234)
Distributions to noncontrolling interest partners (35) (41)
Other financing activities, net (36) (4)
Net cash provided by financing activities 1,254 30
Net change in cash and cash equivalents and restricted cash 78 (172)
Cash and cash equivalents and restricted cash, beginning of period 686 315
Cash and cash equivalents and restricted cash, end of period $ 764 $ 143