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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended 24 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2024
Dec. 31, 2023
Operating Activities:          
Net income $ 4,167 $ 2,893 $ 3,522    
Adjustments to reconcile net income to cash provided by operating activities:          
Depreciation 96 101 108    
Amortization of intangibles 1,077 1,042 905    
Provision for losses on accounts receivable 43 28 24    
Deferred income taxes (323) (381) (353)    
Stock-based compensation 247 171 214    
(Gain) loss on dispositions, net (59) 70 (1,898)    
Restructuring, lease impairment charges and other 206 246 319    
Changes in operating assets and liabilities, net of effect of acquisitions and dispositions:          
Accounts receivable (79) (291) 36    
Prepaid and other current assets (79) (310) (123)    
Accounts payable and accrued expenses 245 328 43    
Unearned revenue 222 352 37    
Other current liabilities (418) (277) (166)    
Net change in prepaid/accrued income taxes 192 (175) (135)    
Net change in other assets and liabilities 152 (87) 70    
Cash provided by operating activities 5,689 3,710 2,603    
Investing Activities:          
Capital expenditures (124) (143) (89)    
Acquisitions, net of cash acquired (305) (296) 210    
Proceeds from dispositions 168 1,014 3,509    
Changes in short-term investments 6 (13) (2)    
Cash (used for) provided by investing activities (255) 562 3,628    
Financing Activities:          
Payments on short-term debt, net 0 (188) (32)    
Proceeds from issuance of senior notes, net 0 744 5,395    
Payments on senior notes (47) 0 (3,698)    
Dividends paid to shareholders (1,134) (1,147) (1,024)    
Distributions to noncontrolling interest holders (287) (280) (270)    
Proceeds from noncontrolling interest holders 0 0 410    
Repurchase of treasury shares (3,301) (3,301) (12,004)    
Contingent consideration payments (107) (9) 0    
Employee withholding tax on share-based payments, excise tax payments on share repurchases and other (122) (99) (103)    
Cash used for financing activities (4,998) (4,280) (11,326)    
Effect of exchange rate changes on cash (61) 12 (123)    
Net change in cash, cash equivalents, and restricted cash 375 4 (5,218)    
Cash, cash equivalents, and restricted cash at beginning of year 1,291 1,287 6,505 $ 1,287 $ 6,505
Cash, cash equivalents, and restricted cash at end of year 1,666 1,291 1,287 $ 1,666 $ 1,291
Cash paid during the year for:          
Interest 391 369 240    
Income taxes $ 1,159 $ 1,279 $ 1,555