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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Operating Activities      
Net income including noncontrolling interests $ 3,049 $ 2,455 $ 1,967
Adjustments to reconcile net income including noncontrolling interests to net cash provided by operations:      
Depreciation and amortization 605 567 545
ERISA litigation matter 0 267 0
Restructuring and termination benefits, net of cash 51 (23) 49
Stock-based compensation expense 135 122 125
Gain on the sale of land 0 0 (47)
Goodwill and intangible assets impairment charges 0 0 721
Deferred income taxes (77) (98) (78)
Cash effects of changes in:      
Receivables (56) (37) (227)
Inventories (100) 194 (333)
Accounts payable and other accruals 516 309 (115)
Other non-current assets and liabilities (16) (11) (51)
Net cash provided by operations 4,107 3,745 2,556
Investing Activities      
Capital expenditures (561) (705) (696)
Purchases of marketable securities and investments (574) (506) (470)
Proceeds from sale of marketable securities and investments 564 502 322
Payment for acquisitions, net of cash acquired 0 0 (809)
Proceeds from the sale of land 0 0 47
Other investing activities 37 (33) 5
Net cash used in investing activities (534) (742) (1,601)
Financing Activities      
Short-term borrowing (repayment) less than 90 days, net 93 (906) 540
Principal payments on debt (503) (903) (406)
Proceeds from issuance of debt 2 1,495 1,513
Dividends paid (1,789) (1,749) (1,691)
Purchases of treasury shares (1,739) (1,128) (1,308)
Proceeds from exercise of stock options 638 380 418
Other financing activities (91) 18 (18)
Net cash used in financing activities (3,389) (2,793) (952)
Effect of exchange rate changes on Cash and cash equivalents (54) (19) (60)
Net increase (decrease) in Cash and cash equivalents 130 191 (57)
Cash and cash equivalents at beginning of year 966 775 832
Cash and cash equivalents at end of year 1,096 966 775
Supplemental Cash Flow Information      
Income taxes paid 933 937 945
Interest paid $ 302 $ 280 $ 151