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v3.23.3

Consolidated Statements of Cash Flows - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2023 | Sep. 30, 2022
Cash flows from operating activities: |  |
Net income | $ 2,240 | $ 1,784
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and other amortization | 1,093 | 982
Amortization of acquisition-related intangible assets | 1,261 | 1,416
Amortization of financing costs and debt discounts | 30 | 33
Share-based compensation | 275 | 244
Deferred income taxes | (344) | (402)
Net (gain) loss on sale of businesses and other assets | (172) | (27)
Loss (income) from investments in unconsolidated affiliates | 11 | (222)
Distributions from unconsolidated affiliates | 42 | 58
Other operating activities | (2) | (2)
Changes in assets and liabilities, net of effects from acquisitions and dispositions: |  |
Trade accounts receivable | 119 | (521)
Prepaid expenses and other assets | (506) | (203)
Contract costs | (180) | (230)
Accounts payable and other liabilities | (303) | 105
Contract liabilities | 3 | (30)
Net cash provided by operating activities | 3,567 | 2,985
Cash flows from investing activities: |  |
Capital expenditures, including capitalized software and other intangibles | (1,034) | (1,148)
Net proceeds from sale of businesses and other assets | 232 | 218
Payments for acquisition of businesses, net of cash acquired | 0 | (682)
Distributions from unconsolidated affiliates | 110 | 110
Purchases of investments | (15) | (45)
Proceeds from sale of investments | 0 | 13
Other investing activities | (3) | 0
Net cash used in investing activities | (710) | (1,534)
Cash flows from financing activities: |  |
Debt proceeds | 5,188 | 1,450
Debt repayments | (1,652) | (2,945)
Net (repayments of) proceeds from commercial paper and short-term borrowings | (2,032) | 2,020
Payments of debt financing costs | (38) | 0
Proceeds from issuance of treasury stock | 68 | 96
Purchases of treasury stock, including employee shares withheld for tax obligations | (3,790) | (1,909)
Settlement activity, net | (630) | 114
Distributions paid to noncontrolling interests and redeemable noncontrolling interests | (22) | (30)
Payment to acquire noncontrolling interest of consolidated subsidiary | (56) | 0
Payments of acquisition-related contingent consideration | (33) | 0
Other financing activities | (39) | 7
Net cash used in financing activities | (3,036) | (1,197)
Effect of exchange rate changes on cash and cash equivalents | (8) | (84)
Net change in cash and cash equivalents | (187) | 170
Cash and cash equivalents, beginning balance | 3,192 | 3,205
Cash and cash equivalents, ending balance | $ 3,005 | $ 3,375

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