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v3.26.1

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2026 | Mar. 31, 2025
Statement of Cash Flows [Abstract] |  |
Net earnings | $ 697 | $ 1,289
Adjustments to reconcile net earnings to net cash from operating activities: |  |
Depreciation | 188 | 181
Amortization of intangible assets | 1,748 | 1,858
Deferred income taxes | 137 | (28)
Change in fair value of contingent consideration liabilities | 2,387 | 1,518
Payments of contingent consideration liabilities | (722) | (549)
Stock-based compensation | 444 | 410
Acquired IPR&D and milestones | 744 | 248
Non-cash litigation reserve adjustments, net of cash payments | 150 | (729)
Other, net | (22) | 17
Changes in operating assets and liabilities, net of acquisitions: |  |
Accounts receivable | 87 | (1,479)
Inventories | (184) | (155)
Prepaid expenses and other assets | (150) | (628)
Accounts payable and other liabilities | (1,594) | (696)
Income tax assets and liabilities, net | (81) | 378
Cash flows from operating activities | 3,829 | 1,635
Cash flows from investing activities |  |
Acquisitions of businesses, net of cash acquired | 0 | (204)
Other acquisitions and investments, net of cash acquired | (266) | (334)
Acquisitions of property and equipment | (265) | (235)
Other, net | (43) | 38
Cash flows from investing activities | (574) | (735)
Cash flows from financing activities |  |
Net change in commercial paper borrowings with original maturities of three months or less | (499) | 1,593
Repayments of other short-term borrowings | (2,000) | 0
Proceeds from issuance of long-term debt | 7,991 | 3,994
Repayments of long-term debt | 0 | (3,026)
Dividends paid | (3,086) | (2,925)
Purchases of treasury stock | (1,489) | (961)
Other, net | 2 | 67
Cash flows from financing activities | 919 | (1,258)
Effect of exchange rate changes on cash and equivalents | (12) | 9
Net change in cash and equivalents | 4,162 | (349)
Cash and equivalents, beginning of period | 5,229 | 5,524
Cash and equivalents, end of period | $ 9,391 | $ 5,175

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