CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
Operating cash flows:
Net income before non-controlling interests	$ 2,564	$ 2,299
Adjustments to reconcile net income provided by operations:
Depreciation and amortization of fixed assets and capitalized software	186	175
Amortization of intangible assets	179	172
Non-cash lease expense	132	143
Adjustments and payments related to contingent consideration assets and liabilities	(75)	(23)
Net gain on investments	(2)	(5)
Net (gain) loss on disposition of assets	(20)	19
Share-based compensation expense	193	191
Changes in assets and liabilities:
Net receivables	(1,287)	(1,029)
Other assets	(62)	(108)
Accrued compensation and employee benefits	(1,226)	(1,101)
Provision for taxes, net of payments and refunds	214	245
Contributions to pension and other benefit plans in excess of current year credit	(182)	(164)
Other liabilities	(30)	10
Operating lease liabilities	(150)	(159)
Net cash provided by operations	434	665
Financing cash flows:
Purchase of treasury shares	(600)	(600)
Net proceeds from issuance of commercial paper	749	308
Borrowings from term-loan and credit facilities	0	200
Proceeds from issuance of debt	988	589
Repayments of debt	(1,609)	(8)
Purchase of non-controlling interests	0	(139)
Shares withheld for taxes on vested units – treasury shares	(173)	(141)
Issuance of common stock from treasury shares	167	120
Payments of deferred and contingent consideration for acquisitions	(81)	(185)
Receipts of contingent consideration for dispositions	1	2
Distributions of non-controlling interests	(21)	(10)
Dividends paid	(706)	(591)
Change in fiduciary liabilities	901	682
Net cash (used for) provided by financing activities	(384)	227
Investing cash flows:
Capital expenditures	(167)	(185)
Purchases of long term investments	(14)	(30)
Sales of long term investments	14	16
Dispositions	27	(17)
Acquisitions, net of cash and cash held in a fiduciary capacity acquired	(644)	(292)
Other, net	1	7
Net cash used for investing activities	(783)	(501)
Effect of exchange rate changes on cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity	(269)	242
(Decrease)/increase in cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity	(1,002)	633
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	13,150	12,735
Cash and cash equivalents	1,653	1,171
Cash and cash equivalents held in a fiduciary capacity	11,497	11,564
Total cash, cash equivalents, and cash and cash equivalents held in a fiduciary capacity	$ 13,150	$ 12,735