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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Millions
 3 Months Ended 12 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Dec. 31, 2024
Operating activities      
Net earnings $ 654 $ 788  
Adjustments to reconcile net earnings to net cash provided by operating activities:      
Depreciation 105 107  
Amortization of intangible assets 167 153  
Asset impairments 35 3  
Share-based compensation 84 87  
Sale of inventory stepped-up to fair value at acquisition 34 0  
Deferred income tax (benefit) expense 14 (39)  
Changes in operating assets and liabilities:      
Accounts receivable 144 258  
Inventories (93) (184)  
Accounts payable (309) (257)  
Accrued expenses and other liabilities (504) (635)  
Income taxes 49 76  
Other, net (130) (153)  
Net cash provided by operating activities 250 204  
Investing activities      
Acquisitions, net of cash acquired (4,749) (246)  
Purchases of marketable securities (11) (18)  
Proceeds from maturity of short-term investments 750 0  
Proceeds from sales of marketable securities 17 23  
Purchases of property, plant and equipment (123) (167)  
Other investing, net (20) 0  
Net cash used in investing activities (4,136) (408)  
Financing activities      
Proceeds (payments) on short-term borrowings, net 0 (1)  
Proceeds from issuance of long-term debt 2,979 0  
Payments of dividends (320) (304)  
Cash paid for taxes from withheld shares (101) (113)  
Other financing, net (24) 0  
Net cash provided by (used in) financing activities 2,534 (418)  
Effect of exchange rate changes on cash and cash equivalents 20 (19)  
Change in cash and cash equivalents (1,332) (641)  
Cash and cash equivalents at beginning of period 3,652 2,971 $ 2,971
Cash and cash equivalents at end of period $ 2,320 $ 2,330 $ 3,652