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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Operating activities    
Net earnings $ 2,447 $ 2,022
Adjustments to reconcile net earnings to net cash provided by operating activities:    
Depreciation 319 292
Amortization of intangible assets 467 486
Asset impairments 21 12
Share-based compensation 184 165
Sale of inventory stepped-up to fair value at acquisition 38 0
Deferred income tax (benefit) expense (21) (4)
Changes in operating assets and liabilities:    
Accounts receivable 67 266
Inventories (362) (922)
Accounts payable (203) (118)
Accrued expenses and other liabilities (224) 149
Income taxes (236) (65)
Other, net (186) (100)
Net cash provided by operating activities 2,311 2,183
Investing activities    
Acquisitions, net of cash acquired (1,598) (390)
Payments to Acquire Short-Term Investments 750 0
Purchases of marketable securities (41) (41)
Proceeds from sales of marketable securities 40 49
Purchases of property, plant and equipment (489) (430)
Proceeds from settlement of net investment hedges 99 0
Other investing, net 42 2
Net cash used in investing activities (2,697) (810)
Financing activities    
Proceeds (payments) on short-term borrowings, net (32) 540
Proceeds from issuance of long-term debt 3,011 0
Payments on long-term debt (601) (852)
Payments of dividends (914) (854)
Cash paid for taxes from withheld shares (146) (121)
Other financing, net (49) (21)
Net cash provided by (used in) financing activities 1,269 (1,308)
Effect of exchange rate changes on cash and cash equivalents (4) (49)
Change in cash and cash equivalents 879 16
Cash and cash equivalents at beginning of period 2,971 1,844
Cash and cash equivalents at end of period $ 3,850 $ 1,860