CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Operating cash flows:
Net income before non-controlling interests	$ 1,424	$ 1,252
Adjustments to reconcile net income provided by operations:
Depreciation and amortization of fixed assets and capitalized software	99	84
Amortization of intangible assets	90	85
Non-cash lease expense	67	73
Adjustments and payments related to contingent consideration assets and liabilities	(8)	8
Net gain on investments	(1)	(2)
Net (gain) loss on disposition of assets	(19)	21
Share-based compensation expense	103	99
Changes in assets and liabilities:
Net receivables	(742)	(775)
Other assets	(70)	(163)
Accrued compensation and employee benefits	(1,779)	(1,670)
Provision for taxes, net of payments and refunds	209	189
Contributions to pension and other benefit plans in excess of current year credit	(88)	(75)
Other liabilities	11	134
Operating lease liabilities	(77)	(79)
Net cash used by operations	(781)	(819)
Financing cash flows:
Purchase of treasury shares	(300)	(300)
Net proceeds from issuance of commercial paper	50	594
Borrowings from term-loan and credit facilities	0	250
Proceeds from issuance of debt	989	589
Repayments of debt	(1,004)	(4)
Shares withheld for taxes on vested units – treasury shares	(169)	(136)
Issuance of common stock from treasury shares	113	42
Payments of deferred and contingent consideration for acquisitions	(15)	(13)
Receipts of contingent consideration for dispositions	0	2
Distributions of non-controlling interests	(4)	(3)
Dividends paid	(354)	(296)
Change in fiduciary liabilities	829	48
Net cash provided by financing activities	135	773
Investing cash flows:
Capital expenditures	(87)	(84)
Purchases of long term investments	(10)	(4)
Sales of long term investments	4	0
Dispositions	26	(20)
Acquisitions, net of cash and cash held in a fiduciary capacity acquired	(301)	(263)
Other, net	0	3
Net cash used for investing activities	(368)	(368)
Effect of exchange rate changes on cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity	(228)	152
Decrease in cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity	(1,242)	(262)
Cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity at beginning of period	14,152	12,102
Cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity at end of period	12,910	11,840
Cash and cash equivalents	1,452	1,006
Cash and cash equivalents held in a fiduciary capacity	11,458	10,834
Total cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity	$ 12,910	$ 11,840