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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Cash flows from operating activities:      
Net income [1] $ 1,403 $ 975 $ 914
Adjustments to reconcile net income to net cash provided by operating activities from continuing operations:      
Depreciation and other amortization [1] 1,158 1,077 615
Amortization of acquisition-related intangible assets [1] 2,038 2,133 1,036
Amortization of financing costs, debt discounts and other [1] 52 47 127
Net foreign currency gain on financing activities [1] 0 0 (50)
Share-based compensation [1] 239 369 229
Deferred income taxes [1] (262) 71 47
Gain on sale of businesses [1] 0 (464) (15)
Income from investments in unconsolidated affiliates [1] (100) 0 (29)
Distributions from unconsolidated affiliates [1] 34 42 23
Settlement of interest rate hedge contracts [1] 0 0 (183)
Non-cash impairment charges [1] 15 124 48
Other operating activities [1] (48) (16) (3)
Changes in assets and liabilities, net of effects from acquisitions and dispositions:      
Trade accounts receivable [1] (358) 320 (7)
Prepaid expenses and other assets [1] (248) (167) (82)
Contract costs [1] (269) (289) (212)
Accounts payable and other liabilities [1] 303 (146) 238
Contract liabilities [1] 77 71 99
Net cash provided by operating activities from continuing operations [1] 4,034 4,147 2,795
Cash flows from investing activities:      
Capital expenditures, including capitalized software and other intangibles [1] (1,160) (900) (721)
Proceeds from sale of businesses [1] 0 579 51
Payments for acquisitions of businesses, net of cash acquired and including working capital adjustments [1] (848) (139) (15,083)
Distributions from unconsolidated affiliates [1] 115 109 113
Purchases of investments [1] (256) (1) (45)
Proceeds from sale of investments [1] 519 11 0
Other investing activities [1] 0 0 5
Net cash used in investing activities from continuing operations [1] (1,630) (341) (15,680)
Cash flows from financing activities:      
Debt proceeds [1] 6,435 8,897 20,030
Debt repayments [1] (7,881) (10,918) (5,043)
Net proceeds from (repayments of) commercial paper and short-term borrowings [1] 1,741 (6) 0
Payments of debt financing, redemption and other costs [1] 0 (16) (247)
Proceeds from issuance of treasury stock [1] 140 133 156
Purchases of treasury stock, including employee shares withheld for tax obligations [1] (2,786) (1,826) (561)
Settlement activity, net [1] 711 405 182
Distributions paid to noncontrolling interests and redeemable noncontrolling interests [1] (62) (104) (118)
Payment for Contingent Consideration Liability, Financing Activities [1] (37) (18) (13)
Other financing activities [1] (2) 22 (13)
Net cash (used in) provided by financing activities from continuing operations [1] (1,741) (3,431) 14,373
Effect of exchange rate changes on cash and cash equivalents [1] (27) 16 1
Net change in cash and cash equivalents [1] 636 391 1,489
Net cash flows from discontinued operations [1] 0 0 133
Cash and cash equivalents, beginning balance [1] 2,569 2,178 556
Cash and cash equivalents, ending balance [1] 3,205 2,569 2,178
Discontinued operations cash flow information:      
Net cash provided by investing activities [1] 0 0 133
Net cash flows from discontinued operations [1] $ 0 $ 0 $ 133
[1] The company revised the consolidated statements of cash flows presentation to include cash and cash equivalents within settlement assets as a component of total cash and cash equivalents. The company revised the 2020 and 2019 presentation for comparable purposes. Additional information is included in Note 1.