Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Operating cash flows:
Net income before non-controlling interests	$ 2,616	$ 2,367
Adjustments to reconcile net income provided by operations:
Depreciation and amortization of fixed assets and capitalized software	259	291
Amortization of intangible assets	258	278
Non-cash lease expense	223	241
Adjustments and payments related to contingent consideration assets and liabilities	0	(16)
Deconsolidation of Russian businesses	39	0
Net gain on investments	(27)	(43)
Net gain on disposition of assets	(112)	(37)
Share-based compensation expense	283	263
Changes in assets and liabilities:
Net receivables	(745)	(604)
Other assets	(14)	(276)
Accrued compensation and employee benefits	(451)	(20)
Provision for taxes, net of payments and refunds	156	196
Contributions to pension and other benefit plans in excess of current year credit	(306)	(282)
Other liabilities	28	(22)
Operating lease liabilities	(244)	(262)
Net cash provided by operations	1,963	2,074
Financing cash flows:
Purchase of treasury shares	(1,600)	(734)
Net proceeds from issuance of commercial paper	600	0
Repayments of debt	(14)	(512)
Shares withheld for taxes on vested units – treasury shares	(194)	(99)
Issuance of common stock from treasury shares	89	115
Payments of deferred and contingent consideration for acquisitions	(144)	(110)
Receipts of contingent consideration for dispositions	3	71
Distributions of non-controlling interests	(20)	(27)
Dividends paid	(840)	(750)
Change in fiduciary liabilities	2,148	1,919
Net cash provided by (used for) financing activities	28	(127)
Investing cash flows:
Capital expenditures	(367)	(268)
Purchases of long term investments	(19)	(28)
Sales of long term investments	84	30
Dispositions	138	84
Acquisitions, net of cash and cash held in a fiduciary capacity acquired	(213)	(384)
Other, net	14	(6)
Net cash used for investing activities	(363)	(572)
Effect of exchange rate changes on cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity	(1,592)	(243)
Increase in cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity	36	1,132
Cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity at beginning of period	11,374	10,674
Cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity at end of period	11,410	11,806
Cash and cash equivalents	802	1,398
Cash and cash equivalents held in a fiduciary capacity	10,608	10,408
Total cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity	$ 11,410	$ 11,806