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v3.25.0.1

Segment and other information - Schedule of Reconciliation of Segment Net Income to Consolidated Net Income (Details) - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Segment Reporting, Asset Reconciling Item [Line Items] |  |  |
Total revenues | $ 33,424 | $ 28,190 | $ 26,323
Manufacturing cost of sales | 12,858 | 8,451 | 6,406
Equity in (income) loss of equity method investments | (10) | 11 | 891
Interest income | (510) | (1,200) | (127)
Interest expense, net | 3,155 | 2,875 | 1,406
Provision for income taxes | 519 | 1,138 | 794
Net income | 4,090 | 6,717 | 6,552
Amortization expense of intangible assets | 4,800 | 3,200 | 2,600
Depreciation and right-of-use asset amortization expense | 805 | 824 | 818
Fair Value Adjustment to Inventory |  |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |  |
Amortization of step-up to fair value of inventory acquired | 2,400 | 656 | 30
Operating Segments |  |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |  |
Total revenues | 33,424 | 28,190 | 26,323
Manufacturing cost of sales | 11,118 | 7,347 | 5,776
Profit share and royalties in cost of sales | 1,740 | 1,104 | 630
Research and development | 5,964 | 4,784 | 4,434
Sales and marketing | 4,713 | 3,784 | 3,736
General and administrative | 2,383 | 2,395 | 1,678
Other segment items | 262 | (743) | 777
Equity in (income) loss of equity method investments | (10) | 14 | 667
Interest income | (510) | (1,225) | (127)
Interest expense, net | 3,155 | 2,875 | 1,406
Provision for income taxes | 519 | 1,138 | 794
Net income | 4,090 | 6,717 | 6,552
Adjustments and reconciling items |  |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |  |
Net income | 0 | 0 | 0
Product sales |  |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |  |
Total revenues | 32,026 | 26,910 | 24,801
Other revenues |  |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |  |
Total revenues | $ 1,398 | $ 1,280 | $ 1,522

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