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Consolidated Statements Of Cash Flows - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Operating activities      
Net earnings $ 2,993 $ 3,165 $ 2,358
Adjustments to reconcile net earnings to net cash provided by operating activities:      
Depreciation 427 393 371
Amortization of intangible assets 623 635 627
Goodwill and other impairments 977 36 270
Share-based compensation 229 205 168
Sale of inventory stepped up to fair value at acquisition 46 0 12
Deferred income tax (benefit) expense (370) (206) 58
Changes in operating assets and liabilities:      
Accounts receivable (321) (175) (579)
Inventories (206) (797) (762)
Accounts payable 192 77 290
Accrued expenses and other liabilities 74 516 156
Income taxes (116) (4) (238)
Other, net (306) (134) (107)
Net cash provided by operating activities 4,242 3,711 2,624
Investing activities      
Acquisitions, net of cash acquired (1,628) (390) (2,563)
Purchase of short-term investments (750) 0 0
Purchases of marketable securities (58) (52) (52)
Proceeds from sales of marketable securities 49 54 43
Purchases of property, plant and equipment (755) (575) (588)
Proceeds from settlement of net investment hedges 99 0 197
Other investing, net 43 1 39
Net cash used in investing activities (3,000) (962) (2,924)
Financing activities      
Proceeds (payments) on short-term borrowings, net (32) 540 (375)
Proceeds from issuance of long-term debt 3,011 1,241 1,500
Payments on long-term debt (2,039) (2,058) (653)
Payments of dividends (1,219) (1,139) (1,051)
Cash paid for taxes from withheld shares (195) (155) (122)
Other financing, net (51) (23) (48)
Net cash provided by (used in) financing activities (525) (1,594) (749)
Effect of exchange rate changes on cash and cash equivalents (36) (28) (51)
Change in cash and cash equivalents 681 1,127 (1,100)
Cash and cash equivalents at beginning of year 2,971 1,844 2,944
Cash and cash equivalents at end of year 3,652 2,971 1,844
Supplemental cash flow disclosure:      
Cash paid for income taxes, net of refunds 989 693 505
Cash paid for interest on debt $ 396 $ 356 $ 324