Consolidated Statements of Cash Flows - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024
Operating Activities:
Net income	$ 3,596	$ 3,200
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation	79	70
Amortization of intangibles	803	803
Provision for losses on accounts receivable	28	36
Deferred income taxes	(287)	(271)
Stock-based compensation	167	177
Gain on dispositions	(3)	(21)
Other	204	(15)
Changes in operating assets and liabilities, net of effect of acquisitions and dispositions:
Accounts receivable	(31)	188
Prepaid and other current assets	72	(14)
Accounts payable and accrued expenses	(493)	(131)
Unearned revenue	(68)	(209)
Other current liabilities	(176)	(399)
Net change in prepaid/accrued income taxes	86	314
Net change in other assets and liabilities	(74)	221
Cash provided by operating activities	3,903	3,949
Investing Activities:
Capital expenditures	(149)	(91)
Acquisitions, net of cash acquired	(50)	(264)
Proceeds from dispositions, net	19	94
Changes in short-term investments	(52)	(1)
Cash used for investing activities	(232)	(262)
Financing Activities:
Payments on senior notes	(4)	(47)
Dividends paid to shareholders	(880)	(854)
Distributions to noncontrolling interest holders	(234)	(213)
Contingent consideration payments	(8)	(107)
Repurchase of treasury shares	(2,501)	(2,001)
Employee withholding tax on share-based payments, excise tax payments on share repurchases and other	(101)	(58)
Cash used for financing activities	(3,728)	(3,280)
Effect of exchange rate changes on cash	63	(1)
Net change in cash, cash equivalents, and restricted cash	6	406
Cash, cash equivalents, and restricted cash at beginning of period	1,666	1,291
Cash, cash equivalents, and restricted cash at end of period	$ 1,672	$ 1,697