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v3.25.3

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2025 | Sep. 30, 2024
Statement of Cash Flows [Abstract] |  |
Net earnings | $ 2,418 | $ 4,309
Adjustments to reconcile net earnings to net cash from operating activities: |  |
Depreciation | 559 | 558
Amortization of intangible assets | 5,593 | 5,726
Deferred income taxes | (107) | (682)
Change in fair value of contingent consideration liabilities | 5,089 | 3,492
Payments of contingent consideration liabilities | (2,184) | (1,456)
Stock-based compensation | 798 | 747
Acquired IPR&D and milestones | 3,751 | 1,183
Non-cash litigation reserve adjustments, net of cash payments | (1,069) | 341
Impairment of Intangible Assets (Excluding Goodwill) | 847 | 0
Other, net | 6 | (75)
Changes in operating assets and liabilities, net of acquisitions: |  |
Accounts receivable | (1,652) | (180)
Inventories | (209) | (191)
Prepaid expenses and other assets | (169) | 461
Accounts payable and other liabilities | 1,549 | (1,070)
Income tax assets and liabilities, net | (1,408) | (1,405)
Cash flows from operating activities | 13,812 | 11,758
Cash flows from investing activities |  |
Payments to Acquire Businesses, Net of Cash Acquired | (204) | (17,493)
Other acquisitions and investments, net of cash acquired | (4,076) | (1,232)
Acquisitions of property and equipment | (885) | (683)
Purchases of investment securities | (29) | (46)
Sales and maturities of investment securities | 42 | 516
Other, net | (28) | (8)
Cash flows from investing activities | (5,180) | (18,946)
Cash flows from financing activities |  |
Net change in commercial paper borrowings with original maturities of three months or less | 999 | 0
Proceeds from issuance of other short-term borrowings | 4,798 | 5,008
Repayments of other short-term borrowings | (2,007) | (5,008)
Proceeds from issuance of long-term debt | 3,994 | 14,963
Repayments of long-term debt and finance lease obligations | (6,789) | (3,851)
Debt issuance costs | (23) | (99)
Dividends paid | (8,746) | (8,273)
Purchases of treasury stock | (977) | (1,350)
Proceeds from the exercise of stock options | 124 | 204
Other, net | 69 | 56
Cash flows from financing activities | (8,558) | 1,650
Effect of exchange rate changes on cash and equivalents | 31 | (19)
Net change in cash and equivalents | 105 | (5,557)
Cash and equivalents, beginning of period | 5,524 | 12,814
Cash and equivalents, end of period | $ 5,629 | $ 7,257

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