Consolidated Statements of Cash Flows - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2025	Jun. 30, 2024
Operating Activities:
Net income	$ 2,331	$ 2,154
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation	51	48
Amortization of intangibles	537	531
Provision for losses on accounts receivable	17	29
Deferred income taxes	(138)	(162)
Stock-based compensation	92	82
Gain on dispositions, net	(3)	0
Other	250	105
Changes in operating assets and liabilities, net of effect of acquisitions and dispositions:
Accounts receivable	(101)	106
Prepaid and other current assets	(20)	(25)
Accounts payable and accrued expenses	(524)	(328)
Unearned revenue	137	(74)
Other current liabilities	(140)	(210)
Net change in prepaid/accrued income taxes	2	241
Net change in other assets and liabilities	(93)	7
Cash provided by operating activities	2,398	2,504
Investing Activities:
Capital expenditures	(104)	(56)
Acquisitions, net of cash acquired	(25)	(261)
Proceeds from dispositions, net	15	(4)
Changes in short-term investments	(17)	2
Cash used for investing activities	(131)	(319)
Financing Activities:
Payments on senior notes	(4)	(47)
Dividends paid to shareholders	(589)	(572)
Distributions to noncontrolling interest holders	(168)	(133)
Contingent consideration payments	(6)	(104)
Repurchase of treasury shares	(1,301)	(500)
Employee withholding tax on share-based payments, excise tax payments on share repurchases and other	(94)	(49)
Cash used for financing activities	(2,162)	(1,405)
Effect of exchange rate changes on cash	76	(32)
Net change in cash, cash equivalents, and restricted cash	181	748
Cash, cash equivalents, and restricted cash at beginning of period	1,666	1,291
Cash, cash equivalents, and restricted cash at end of period	$ 1,847	$ 2,039