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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Cash flows from operating activities:    
Net income $ 576 $ 682
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and other amortization 352 313
Amortization of acquisition-related intangible assets 433 486
Amortization of financing costs and debt discounts 10 11
Share-based compensation 93 61
Deferred income taxes (87) (183)
Net loss (gain) on sale of businesses and other assets 4 (147)
Loss (income) from investments in unconsolidated affiliates 12 (106)
Distributions from unconsolidated affiliates 11 19
Other operating activities (1) 3
Changes in assets and liabilities, net of effects from acquisitions and dispositions:    
Trade accounts receivable 255 (60)
Prepaid expenses and other assets (224) (130)
Contract costs (66) (88)
Accounts payable and other liabilities (336) (78)
Contract liabilities 98 32
Net cash provided by operating activities 1,130 815
Cash flows from investing activities:    
Capital expenditures, including capitalized software and other intangibles (339) (331)
Net proceeds from sale of businesses and other assets 0 175
Distributions from unconsolidated affiliates 34 61
Purchases of investments (5) (8)
Proceeds from sale of investments 0 3
Other investing activities (4) 0
Net cash used in investing activities (314) (100)
Cash flows from financing activities:    
Debt proceeds 2,071 705
Debt repayments (424) (1,086)
Net (repayments of) proceeds from commercial paper and short-term borrowings (781) 218
Payments of debt financing costs (15) 0
Proceeds from issuance of treasury stock 29 43
Purchases of treasury stock, including employee shares withheld for tax obligations (1,530) (544)
Settlement activity, net (460) (400)
Distributions paid to noncontrolling interests and redeemable noncontrolling interests (8) (13)
Other financing activities (31) 0
Net cash used in financing activities (1,149) (1,077)
Effect of exchange rate changes on cash and cash equivalents 17 (10)
Net change in cash and cash equivalents (316) (372)
Cash and cash equivalents, beginning balance 3,192 3,205
Cash and cash equivalents, ending balance $ 2,876 $ 2,833