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v3.25.3

CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2025 | Sep. 30, 2024
Operating activities |  |
Net earnings | $ 2,397 | $ 2,447
Adjustments to reconcile net earnings to net cash provided by operating activities: |  |
Depreciation | 334 | 319
Amortization of intangible assets | 543 | 467
Asset impairments | 163 | 21
Share-based compensation | 195 | 184
Sale of inventory stepped-up to fair value at acquisition | 160 | 38
Deferred income tax (benefit) expense | 191 | (21)
Changes in operating assets and liabilities: |  |
Accounts receivable | 524 | 67
Inventories | (373) | (362)
Accounts payable | (205) | (203)
Accrued expenses and other liabilities | (78) | (224)
Income taxes | (577) | (236)
Other, net | (373) | (186)
Net cash provided by operating activities | 2,901 | 2,311
Investing activities |  |
Acquisitions, net of cash acquired | (4,950) | (1,598)
Purchases of marketable securities | (32) | (41)
Proceeds/(Purchases) of short-term investments | 750 | (750)
Proceeds from sales of marketable securities | 40 | 40
Purchases of property, plant and equipment | (493) | (489)
Proceeds from settlement of net investment hedges | 0 | 99
Proceeds from the sale of the Spinal Implants business | 165 | 0
Other investing, net | (41) | 42
Net cash used in investing activities | (4,561) | (2,697)
Financing activities |  |
Proceeds (payments) on short-term borrowings, net | 1 | (32)
Proceeds from issuance of long-term debt | 2,979 | 3,011
Payments on long-term debt | (650) | (601)
Payments of dividends | (963) | (914)
Cash paid for taxes from withheld shares | (132) | (146)
Other financing, net | (29) | (49)
Net cash provided by (used in) financing activities | 1,206 | 1,269
Effect of exchange rate changes on cash and cash equivalents | 58 | (4)
Change in cash and cash equivalents | (396) | 879
Cash and cash equivalents at beginning of period | 3,652 | 2,971
Cash and cash equivalents at end of period | $ 3,256 | $ 3,850

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