v3.25.1
Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Statement of Cash Flows [Abstract]    
Net earnings $ 1,289 $ 1,372
Adjustments to reconcile net earnings to net cash from operating activities:    
Depreciation 181 183
Amortization of intangible assets 1,858 1,891
Deferred income taxes (28) (389)
Change in fair value of contingent consideration liabilities 1,518 660
Payment for Contingent Consideration Liability, Operating Activities (549) (391)
Stock-based compensation 410 348
Acquired IPR&D and milestones 248 164
Non-cash litigation reserve adjustments, net of cash payments (729) (12)
Other, net 17 (33)
Changes in operating assets and liabilities, net of acquisitions:    
Accounts receivable (1,479) (702)
Inventories (155) (75)
Prepaid expenses and other assets (628) 284
Accounts payable and other liabilities (696) 362
Income tax assets and liabilities, net 378 378
Cash flows from operating activities 1,635 4,040
Cash flows from investing activities    
Payments to Acquire Businesses, Net of Cash Acquired (204) (9,199)
Other acquisitions and investments (334) (190)
Acquisitions of property and equipment (235) (193)
Purchases of investment securities (10) (6)
Sales and maturities of investment securities 32 6
Other, net 16 (6)
Cash flows from investing activities (735) (9,588)
Cash flows from financing activities    
Net change in commercial paper borrowings 1,593 0
Proceeds from issuance of other short-term borrowings 0 5,008
Repayments of other short-term borrowings 0 (5,005)
Proceeds from issuance of long-term debt 3,994 14,963
Repayments of long-term debt and finance lease obligations (3,026) (103)
Payments of Debt Issuance Costs (20) (99)
Dividends paid (2,925) (2,772)
Purchases of treasury stock (961) (1,324)
Proceeds from the exercise of stock options 56 127
Other, net 31 24
Cash flows from financing activities (1,258) 10,819
Effect of exchange rate changes on cash and equivalents 9 (18)
Net change in cash and equivalents (349) 5,253
Cash and equivalents, beginning of period 5,524 12,814
Cash and equivalents, end of period $ 5,175 $ 18,067