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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Cash flows from operating activities:    
Net income $ 6,378 $ 3,463
Noncash adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation, amortization and other 4,035 4,195
Impairment of intangible assets 1,200 129
Stock-based compensation expense 369 396
Deferred income taxes (702) (894)
Gains on equity securities (2,712) (717)
Other items, net (101) (139)
Changes in operating assets and liabilities, net of acquisitions:    
Trade receivables, net (1,601) (32)
Inventories 767 2,209
Other assets (690) (638)
Accounts payable 912 544
Accrued income taxes, net (1,703) (1,064)
Long-term tax liabilities 236 (561)
Accrued liabilities (250) (636)
Accrued sales incentives and allowance 2,297 536
Other liabilities (80) (72)
Net cash provided by operating activities 8,355 6,719
Cash flows from investing activities:    
Purchases of property, plant and equipment (1,216) (725)
Other (34) 81
Net cash used in investing activities (1,250) (644)
Cash flows from financing activities:    
Extinguishment of debt (683) (659)
Repayment of debt (5,000) (3,600)
Dividends paid (3,841) (3,627)
Other (109) (122)
Net cash used in financing activities (9,633) (8,008)
Decrease in cash and cash equivalents (2,528) (1,933)
Cash and cash equivalents at beginning of period 11,973 10,944
Cash and cash equivalents at end of period $ 9,445 $ 9,011