v3.24.0.1
Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Cash flows from operating activities:      
Net income $ 3,129 $ 2,582 $ 1,403
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and other amortization 1,479 1,320 1,158
Amortization of acquisition-related intangible assets 1,642 1,849 2,038
Amortization of financing costs and debt discounts 41 43 52
Share-based compensation 342 323 239
Deferred income taxes (511) (558) (262)
Net gain on sale of businesses and other assets (167) (54) 0
Loss (income) from investments in unconsolidated affiliates 15 (220) (100)
Distributions from unconsolidated affiliates 55 73 34
Non-cash impairment charges 0 14 15
Other operating activities 49 (10) (48)
Changes in assets and liabilities, net of effects from acquisitions and dispositions:      
Trade accounts receivable 23 (770) (358)
Prepaid expenses and other assets (790) (253) (248)
Contract costs (246) (290) (269)
Accounts payable and other liabilities (54) 511 303
Contract liabilities 155 58 77
Net cash provided by operating activities 5,162 4,618 4,034
Cash flows from investing activities:      
Capital expenditures, including capitalized software and other intangibles (1,388) (1,479) (1,160)
Net proceeds from sale of businesses and other assets 234 246 0
Payments for acquisition of businesses, net of cash acquired (13) (988) (848)
Distributions from unconsolidated affiliates 136 138 115
Purchases of investments (39) (52) (256)
Proceeds from sale of investments 5 23 519
Other investing activities (3) 0 0
Net cash used in investing activities (1,068) (2,112) (1,630)
Cash flows from financing activities:      
Debt proceeds 5,567 1,624 6,435
Debt repayments (3,015) (3,315) (7,881)
Net (repayments of) proceeds from commercial paper and short-term borrowings (1,456) 1,837 1,741
Payments of debt financing costs (38) (10) 0
Proceeds from issuance of treasury stock 101 149 140
Purchases of treasury stock, including employee shares withheld for tax obligations (4,827) (2,677) (2,786)
Settlement activity, net (527) (78) 711
Distributions paid to noncontrolling interests and redeemable noncontrolling interests (34) (42) (62)
Payment to acquire noncontrolling interest of consolidated subsidiary (56) 0 0
Payments of acquisition-related contingent consideration (35) (2) (37)
Other financing activities (36) 36 (2)
Net cash used in financing activities (4,356) (2,478) (1,741)
Effect of exchange rate changes on cash and cash equivalents 33 (41) (27)
Net change in cash and cash equivalents (229) (13) 636
Cash and cash equivalents, beginning balance 3,192 3,205 2,569
Cash and cash equivalents, ending balance $ 2,963 $ 3,192 $ 3,205

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