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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Operating Activities:    
Net income $ 2,249 $ 3,028
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation 71 93
Amortization of intangibles 782 645
Provision for losses on accounts receivable 19 18
Deferred income taxes (430) (155)
Stock-based compensation 143 160
Loss (gain) on dispositions 69 (1,897)
Loss on extinguishment of debt, net 0 15
Other 151 249
Changes in operating assets and liabilities, net of effect of acquisitions and dispositions:    
Accounts receivable (64) 291
Prepaid and other current assets (128) (66)
Accounts payable and accrued expenses (120) (382)
Unearned revenue (71) (188)
Other current liabilities (313) (85)
Net change in prepaid/accrued income taxes 62 (92)
Net change in other assets and liabilities (44) (144)
Cash provided by operating activities 2,376 1,490
Investing Activities:    
Capital expenditures (95) (61)
Acquisitions, net of cash acquired (293) 242
Proceeds from dispositions 1,004 3,510
Changes in short-term investments (9) (2)
Cash provided by investing activities 607 3,689
Financing Activities:    
Payments on short-term debt, net (188) (219)
Proceeds from issuance of senior notes, net 744 5,395
Payments on senior notes 0 (3,684)
Dividends paid to shareholders (864) (749)
Proceeds from noncontrolling interest holders 0 410
Distributions to noncontrolling interest holders (211) (197)
Contingent consideration payments (8) 0
Repurchase of treasury shares (2,001) (11,003)
Exercise of stock options 12 4
Employee withholding tax on share-based payments (86) (85)
Cash used for financing activities (2,602) (10,128)
Effect of exchange rate changes on cash (22) (167)
Net change in cash, cash equivalents, and restricted cash 359 (5,116)
Cash, cash equivalents, and restricted cash at beginning of period 1,287 6,505
Cash, cash equivalents, and restricted cash at end of period $ 1,646 $ 1,389