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v3.25.1

Segment and other information - Schedule of Reconciliation of Segment Net Income (Loss) to Consolidated Net Income (Loss) (Details) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Segment Reporting, Asset Reconciling Item [Line Items] |  |
Total revenues | $ 8,149 | $ 7,447
Manufacturing cost of sales | 2,968 | 3,200
Interest income | (126) | (153)
Interest expense, net | 723 | 824
Provision for income taxes | 243 | 45
Net income (loss) | 1,730 | (113)
Amortization expense of intangible assets | 1,200 | 1,200
Depreciation and right-of-use asset amortization expense | 209 | 201
Reportable Segment |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |
Net income (loss) | 1,730 | (113)
Fair Value Adjustment to Inventory |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |
Amortization of step-up to fair value of inventory acquired | 363 | 693
Operating Segments | Reportable Segment |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |
Total revenues | 8,149 | 7,447
Manufacturing cost of sales | 2,528 | 2,814
Profit share and royalties in cost of sales | 440 | 386
Research and development | 1,486 | 1,343
Sales and marketing | 1,066 | 1,204
General and administrative | 621 | 604
Other segment items | (573) | 520
Equity in loss (income) of equity method investments | 11 | (27)
Interest income | (126) | (153)
Interest expense, net | 723 | 824
Provision for income taxes | 243 | 45
Net income (loss) | 1,730 | (113)
Adjustments and reconciling items | Reportable Segment |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |
Net income (loss) | 0 | 0
Product sales |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |
Total revenues | 7,873 | 7,118
Product sales | Reportable Segment |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |
Total revenues | 7,873 | 7,118
Other revenues |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |
Total revenues | 276 | 329
Other revenues | Reportable Segment |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |
Total revenues | $ 276 | $ 329

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