INCOME TAXES (Tables)
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12 Months Ended |
Dec. 31, 2025 |
| Income Tax Disclosure [Abstract] |
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| Summary of Income Before Income Taxes |
Income before income taxes consists of the following: | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, | | (in millions) | | 2025 | | 2024 | | 2023 | | Domestic | | $ | 8,310 | | | $ | (876) | | | $ | 5,467 | | | Foreign | | 1,486 | | | 1,566 | | | 1,392 | | | Income before income taxes | | $ | 9,796 | | | $ | 690 | | | $ | 6,859 | |
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| Summary of Income Tax Expense |
Income tax expense consists of the following: | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, | | (in millions) | | 2025 | | 2024 | | 2023 | | Federal: | | | | | | | | Current | | $ | 820 | | | $ | 1,495 | | | $ | 1,781 | | | Deferred | | 424 | | | (1,562) | | | (1,126) | | | | 1,244 | | | (67) | | | 655 | | | State: | | | | | | | | Current | | 51 | | | 39 | | | 80 | | | Deferred | | (190) | | | (386) | | | 170 | | | | (139) | | | (347) | | | 250 | | | Foreign: | | | | | | | | Current | | 256 | | | 519 | | | 381 | | | Deferred | | (75) | | | 106 | | | (39) | | | | 181 | | | 625 | | | 342 | | | Income tax expense | | $ | 1,286 | | | $ | 211 | | | $ | 1,247 | |
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| Summary of Effective Tax Rate Reconciliation |
The reconciliation between the federal statutory tax rate applied to Income before income taxes and our effective tax rate is summarized as follows(1): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, | | | 2025 | | 2024 | | 2023 | | (in millions, except percentages) | | Amount | | Percent | | Amount | | Percent | | Amount | | Percent | | Income tax expense at U.S. federal statutory tax rate | | $ | 2,057 | | | 21.0 | % | | $ | 145 | | | 21.0 | % | | $ | 1,440 | | | 21.0 | % | State taxes, net of federal benefit(2) | | (138) | | | (1.4) | % | | (159) | | | (23.0) | % | | 174 | | | 2.5 | % | | Foreign taxes: | | | | | | | | | | | | | | Ireland: | | | | | | | | | | | | | | Tax rate differential | | (118) | | | (1.2) | % | | (67) | | | (9.7) | % | | (58) | | | (0.8) | % | | Other | | — | | | — | % | | 46 | | | 6.7 | % | | 69 | | | 1.0 | % | | United Kingdom: | | | | | | | | | | | | | | Tax rate differential | | * | | * | | * | | * | | 5 | | | 0.1 | % | | Intercompany asset transfer | | * | | * | | * | | * | | 92 | | | 1.3 | % | | Other | | * | | * | | * | | * | | 16 | | | 0.2 | % | | Australia: | | | | | | | | | | | | | | Tax rate differential | | * | | * | | 7 | | | 1.0 | % | | * | | * | | Intercompany asset transfer | | * | | * | | 388 | | | 56.2 | % | | * | | * | | Valuation allowance | | * | | * | | (101) | | | (14.6) | % | | * | | * | | Other | | * | | * | | (44) | | | (6.4) | % | | * | | * | | Other foreign jurisdictions | | (9) | | | (0.1) | % | | 41 | | | 5.9 | % | | (30) | | | (0.4) | % | | Effect of cross-border tax laws: | | | | | | | | | | | | | | Global intangible low-taxed income | | 85 | | | 0.9 | % | | 66 | | | 9.6 | % | | 23 | | | 0.3 | % | | Foreign-derived intangible income | | (85) | | | (0.9) | % | | (133) | | | (19.3) | % | | (143) | | | (2.1) | % | | U.S. taxation of foreign branches | | 9 | | | 0.1 | % | | (245) | | | (35.5) | % | | — | | | — | % | | Other | | 2 | | | — | % | | 14 | | | 2.0 | % | | 13 | | | 0.2 | % | | Tax credits: | | | | | | | | | | | | | | R&D tax credits | | (143) | | | (1.5) | % | | (144) | | | (20.9) | % | | (164) | | | (2.4) | % | | Other | | (9) | | | (0.1) | % | | (13) | | | (1.9) | % | | (56) | | | (0.8) | % | Changes in valuation allowance(3) | | (538) | | | (5.5) | % | | 588 | | | 85.2 | % | | 38 | | | 0.6 | % | | Nontaxable or nondeductible items: | | | | | | | | | | | | | | Acquired IPR&D and related charges | | 65 | | | 0.7 | % | | 810 | | | 117.4 | % | | 88 | | | 1.3 | % | | Other | | 20 | | | 0.2 | % | | 98 | | | 14.2 | % | | (2) | | | — | % | | Changes in unrecognized tax benefits | | 61 | | | 0.6 | % | | (427) | | | (61.9) | % | | (197) | | | (2.9) | % | | Other adjustments: | | | | | | | | | | | | | | Settlement of tax examinations | | — | | | — | % | | 251 | | | 36.4 | % | | (67) | | | (1.0) | % | | Legal entity restructuring | | — | | | — | % | | (884) | | | (128.1) | % | | — | | | — | % | | Other | | 27 | | | 0.3 | % | | (26) | | | (3.8) | % | | 6 | | | 0.1 | % | | Income tax expense / Effective tax rate | | $ | 1,286 | | | 13.1 | % | | $ | 211 | | | 30.5 | % | | $ | 1,247 | | | 18.2 | % |
_______________________________ * Amounts did not meet the disaggregation threshold and therefore are included in Other foreign jurisdictions for this year instead of being broken out separately. (1) Recurring items in this rate reconciliation table for 2024 are significantly impacted by the lower Income before income taxes for that year. (2) Majority of 2025 state taxes related to Louisiana. Majority of 2024 and 2023 state taxes related to Tennessee. (3) The amount in 2025 primarily relates to changes in realizability of a tax loss attribute related to a prior year legal entity restructuring.
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| Summary of Deferred Tax Assets and Liabilities |
Significant components of our deferred tax assets and liabilities are as follows: | | | | | | | | | | | | | | | | | December 31, | | (in millions) | | 2025 | | 2024 | | Deferred tax assets: | | | | | | Net operating loss carryforwards | | $ | 266 | | | $ | 288 | | | Stock-based compensation | | 83 | | | 84 | | | Reserves and accruals not currently deductible | | 688 | | | 685 | | | Excess of tax basis over book basis of intangible assets | | 776 | | | 910 | | | Deductible acquired IPR&D payments | | 1,293 | | | 1,312 | | | Research and other credit carryforwards | | 353 | | | 428 | | | Equity investments | | 111 | | | 237 | | | Liability related to future royalties | | 270 | | | 287 | | | Capitalized R&D expenditures | | 1,773 | | | 2,173 | | | Capital losses | | 187 | | | 590 | | | Other, net | | 252 | | | 213 | | | Total deferred tax assets before valuation allowance | | 6,052 | | | 7,207 | | Valuation allowance(1) | | (676) | | | (1,217) | | | Total deferred tax assets | | 5,376 | | | 5,990 | | | Deferred tax liabilities: | | | | | | Property, plant and equipment | | (288) | | | (276) | | | Excess of book basis over tax basis of intangible assets | | (3,209) | | | (3,836) | | | Equity investments | | (92) | | | (81) | | | Other | | (225) | | | (143) | | | Total deferred tax liabilities | | (3,814) | | | (4,336) | | | Net deferred tax assets | | $ | 1,562 | | | $ | 1,654 | |
_______________________________ (1) The valuation allowance decreased $541 million in 2025 primarily due to changes in realizability of a tax loss attribute related to a prior year legal entity restructuring. The valuation allowance increased $554 million in 2024 primarily due to capital losses, state research credits, and unrealized losses on our equity investments, partially offset by utilization of foreign net operating losses.
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| Summary of Unrecognized Tax Benefits Roll Forward |
The following is a rollforward of our total gross unrecognized tax benefits: | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, | | (in millions) | | 2025 | | 2024 | | 2023 | | Beginning balance | | $ | 2,325 | | | $ | 1,962 | | | $ | 1,959 | | | Tax positions related to current year: | | | | | | | | Additions | | 180 | | | 743 | | | 265 | | | Tax positions related to prior years: | | | | | | | | Additions | | 243 | | | 190 | | | 109 | | | Reductions | | (669) | | | (298) | | | (315) | | | Settlements | | — | | | (270) | | | (42) | | | Lapse of statute of limitations | | (3) | | | (2) | | | (13) | | | Ending balance | | $ | 2,076 | | | $ | 2,325 | | | $ | 1,962 | |
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| Summary of Income Taxes Paid (Net of Refunds Received) |
Income taxes paid (net of refunds received), disaggregated by jurisdiction, were as follows: | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, | | (in millions) | | 2025 | | 2024 | | 2023 | Federal(1) | | $ | 2,492 | | | $ | 2,434 | | | $ | 3,411 | | | State | | 230 | | | 107 | | | 152 | | | Foreign: | | | | | | | Australia(2) | | 253 | | | * | | * | | Other | | 240 | | | 238 | | | 427 | | | Total income taxes paid | | $ | 3,215 | | | $ | 2,779 | | | $ | 3,990 | |
_______________________________ * Amounts did not meet the disaggregation threshold and therefore are included in Other for this year instead of being broken out separately. (1) Includes payments of $1.3 billion in 2025, $1.2 billion in 2024 and $0.9 billion in 2023 related to the transition tax on the mandatory deemed repatriation of foreign earnings in connection with the Tax Cuts and Jobs Act, with the final payment being made in 2025. (2) Australia tax payment in 2025 primarily relates to 2024 intercompany asset restructuring involving transfer of certain assets from a prior acquisition to the U.S.
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