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CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2025 | Sep. 30, 2024
Cash Flows from Operating Activities |  |
Net income | $ 15,301 | $ 13,389
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Amortization | 1,820 | 1,720
Depreciation | 1,552 | 1,582
Income from investments in equity securities, net | (563) | (169)
Charges for research and development asset acquisitions | 0 | 2,756
Deferred income taxes | (846) | (633)
Share-based compensation | 615 | 574
Other | 393 | 611
Net changes in assets and liabilities | (4,657) | (1,812)
Net Cash Provided by Operating Activities | 13,615 | 18,018
Cash Flows from Investing Activities |  |
Capital expenditures | (3,079) | (2,435)
Purchases of securities and other investments | (1,207) | (64)
Proceeds from sales of securities and other investments | 1,632 | 370
Acquisition of Eyebiotech Limited, net of cash acquired | 0 | (1,344)
Acquisition of Elanco Animal Health Incorporated aqua business | 0 | (1,301)
Acquisition of Harpoon Therapeutics, Inc., net of cash acquired | 0 | (746)
Acquisition of MK-1045 (formerly CN201) from Curon Pharmaceutical | 0 | (700)
Other | 114 | (70)
Net Cash Used in Investing Activities | (2,540) | (6,290)
Cash Flows from Financing Activities |  |
Net change in short-term borrowings | 63 | 0
Proceeds from issuance of debt | 5,962 | 3,599
Payments on debt | (2,501) | (751)
Dividends paid to stockholders | (6,158) | (5,889)
Purchases of treasury stock | (3,832) | (817)
Proceeds from exercise of stock options | 45 | 165
Other | (252) | (330)
Net Cash Used in Financing Activities | (6,673) | (4,023)
Effect of Exchange Rate Changes on Cash, Cash Equivalents and Restricted Cash | 540 | 74
Net Increase in Cash, Cash Equivalents and Restricted Cash | 4,942 | 7,779
Cash, Cash Equivalents and Restricted Cash at Beginning of Year (includes restricted cash of $76 and $68 at January 1, 2025 and 2024, respectively, included in Other current assets) | 13,318 | 6,909
Cash, Cash Equivalents and Restricted Cash at End of Period (includes restricted cash of $91 and $95 at September 30, 2025 and 2024, respectively, included in Other current assets) | $ 18,260 | $ 14,688

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