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Revenues and Trade Accounts Receivable (Tables)
9 Months Ended
Sep. 30, 2024
Revenue from Contract with Customer [Abstract]  
Capitalized Costs to Fulfill Contract with Customer
The following table shows significant movements in the capitalized costs to fulfill for the nine months ended September 30:
(in millions)20242023
Beginning balance$245 $265 
Costs capitalized43 41 
Amortization expense(69)(64)
Ending balance$219 $242 
Costs to obtain contracts were immaterial for the periods disclosed.
Contract with Customer, Asset and Liability The table below shows significant movements in contract assets (current and noncurrent) for the nine months ended September 30:
(in millions)20242023
Beginning balance$316 $326 
Revenues recognized during the period but not billed377 370 
Amounts reclassified to trade accounts receivable(270)(316)
Amounts acquired in business combinations— 
Ending balance$423 $389 
The table below shows significant movements in the deferred revenue balances (current and noncurrent) for the nine months ended September 30:
(in millions)20242023
Beginning balance$427 $417 
Amounts billed but not recognized as revenues298 228 
Revenues recognized related to the beginning balance of deferred revenue(354)(322)
Amounts acquired in business combinations12 13 
Ending balance$383 $336 
Disaggregation of Revenue
Three Months Ended
September 30, 2024
Nine Months Ended
September 30, 2024
(in millions)FSHSP&RCMTTotalFSHSP&RCMTTotal
Revenues
Geography:
North America$1,048 $1,295 $828 $564 $3,735 $3,064 $3,756 $2,362 $1,694 $10,876 
United Kingdom147 47 157 131 482 428 138 415 401 1,382 
Continental Europe156 143 154 32 485 457 413 447 121 1,438 
Europe - Total303 190 311 163 967 885 551 862 522 2,820 
Rest of World 135 29 89 89 342 369 84 263 242 958 
Total$1,486 $1,514 $1,228 $816 $5,044 $4,318 $4,391 $3,487 $2,458 $14,654 
Service line:
Consulting and technology services$1,051 $895 $833 $447 $3,226 $3,025 $2,560 $2,297 $1,373 $9,255 
Outsourcing services435 619 395 369 1,818 1,293 1,831 1,190 1,085 5,399 
Total$1,486 $1,514 $1,228 $816 $5,044 $4,318 $4,391 $3,487 $2,458 $14,654 
Type of contract:
Time and materials$833 $499 $511 $439 $2,282 $2,421 $1,486 $1,428 $1,336 $6,671 
Fixed-price608 738 627 327 2,300 1,761 2,111 1,803 994 6,669 
Transaction or volume-based45 277 90 50 462 136 794 256 128 1,314 
Total$1,486 $1,514 $1,228 $816 $5,044 $4,318 $4,391 $3,487 $2,458 $14,654 
Three Months Ended
September 30, 2023
Nine Months Ended
September 30, 2023
(in millions)FSHSP&RCMTTotalFSHSP&RCMTTotal
Revenues
Geography:
North America$1,040 $1,194 $785 $580 $3,599 $3,100 $3,675 $2,306 $1,652 $10,733 
United Kingdom156 43 137 150 486 473 124 406 434 1,437 
Continental Europe151 139 153 41 484 458 398 463 120 1,439 
Europe - Total307 182 290 191 970 931 522 869 554 2,876 
Rest of World 128 29 95 76 328 383 81 290 232 986 
Total$1,475 $1,405 $1,170 $847 $4,897 $4,414 $4,278 $3,465 $2,438 $14,595 
Service line:
Consulting and technology services$1,013 $806 $763 $440 $3,022 $3,019 $2,440 $2,258 $1,318 $9,035 
Outsourcing services462 599 407 407 1,875 1,395 1,838 1,207 1,120 5,560 
Total$1,475 $1,405 $1,170 $847 $4,897 $4,414 $4,278 $3,465 $2,438 $14,595 
Type of contract:
Time and materials$806 $513 $471 $471 $2,261 $2,478 $1,520 $1,391 $1,395 $6,784 
Fixed-price611 640 610 328 2,189 1,764 1,945 1,807 926 6,442 
Transaction or volume-based58 252 89 48 447 172 813 267 117 1,369 
Total$1,475 $1,405 $1,170 $847 $4,897 $4,414 $4,278 $3,465 $2,438 $14,595 
Reinsurance Recoverable, Allowance for Credit Loss The following table presents the activity in the allowance for credit losses for trade accounts receivable for the nine months ended September 30:
(in millions)20242023
Beginning balance$32 $43 
Credit loss expense (1)
11 
Write-offs charged against the allowance(9)(18)
Ending balance$30 $36 
(1)Reported in "Selling, general and administrative expenses" in our unaudited consolidated statements of operations.