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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2024 | Sep. 30, 2023
Cash Flows From Operating Activities: |  |
Net (loss)/earnings | $ (9,009) | $ 6,278
Adjustments to reconcile net earnings to net cash provided by operating activities: |  |
Depreciation and amortization, net | 7,720 | 7,296
Deferred income taxes | (1,298) | (1,961)
Stock-based compensation | 387 | 391
Impairment charges | 1,010 | 226
Divestiture gains and royalties | (838) | (639)
Acquired IPRD | 13,343 | 313
Equity investment (gains)/losses | (221) | 213
Other adjustments | 123 | 260
Changes in operating assets and liabilities: |  |
Receivables | 121 | (487)
Inventories | (661) | (554)
Accounts payable | (333) | (246)
Rebates and discounts | 1,889 | 1,115
Income taxes payable | (1,381) | (1,647)
Other | (101) | (950)
Net cash provided by operating activities | 10,751 | 9,608
Cash Flows From Investing Activities: |  |
Sale and maturities of marketable debt securities | 1,060 | 692
Purchase of marketable debt securities | (398) | (1,057)
Proceeds from sales of equity investments | 60 | 215
Capital expenditures | (870) | (879)
Divestiture and other proceeds | 766 | 668
Acquisition and other payments, net of cash acquired | (21,774) | (588)
Net cash used in investing activities | (21,156) | (949)
Cash Flows From Financing Activities: |  |
Proceeds from issuance of short-term debt obligations | 2,987 | 0
Repayments of short-term debt obligations | (3,000) | 0
Other short-term financing obligations, net | 504 | 233
Proceeds from issuance of long-term debt | 12,883 | 0
Repayments of long-term debt | (2,873) | (1,879)
Repurchase of common stock | 0 | (5,155)
Dividends | (3,645) | (3,584)
Stock option proceeds and other, net | (87) | 2
Net cash provided by/(used in) financing activities | 6,769 | (10,383)
Effect of exchange rates on cash, cash equivalents and restricted cash | 10 | (33)
Decrease in cash, cash equivalents and restricted cash | (3,626) | (1,757)
Cash, cash equivalents and restricted cash at beginning of period | 11,519 | 9,325
Cash, cash equivalents and restricted cash at end of period | $ 7,893 | $ 7,568

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