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CONSOLIDATED STATEMENTS OF CASH FLOWS
$ in Millions
 12 Months Ended
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Cash Flows From Operating Activities      
Net loss $ (72) $ (611) $ (212)
Adjustments to reconcile net loss to net cash provided by operating activities:      
Depreciation and amortization of intangible assets 1,267 1,264 1,394
Amortization and write-off of debt discounts and debt issuance costs 55 65 99
Asset impairments 29 54 15
Goodwill impairment 0 493 824
Acquisition-related contingent consideration 14 59 29
Allowances for losses on trade receivables and inventories 62 56 51
Deferred income taxes 66 51 (176)
Net gain on sale of assets (10) (3) (5)
Additions to accrued legal settlements 220 26 9
Payments of accrued legal settlements (230) (10) (1,572)
Share-based compensation 150 132 126
Gain excluded from hedge effectiveness (13) (13) (6)
Gain on extinguishment of debt (23) (1) (875)
Third party fees paid in connection with the 2022 Exchange 0 (2) (34)
Payments of contingent consideration adjustments, including accretion (10) (10) (2)
Amortization of interim contract and inventory step-up resulting from acquisitions 82 23 0
Foreign exchange and other 3 41 3
Changes in operating assets and liabilities:      
Trade receivables (216) (195) (57)
Inventories (267) (322) (198)
Prepaid expenses and other current assets 133 (223) (66)
Accounts payable, accrued and other liabilities 357 158 (75)
Net cash provided by (used in) operating activities 1,597 1,032 (728)
Cash Flows From Investing Activities      
Acquisitions and other investments (136) (1,890) (45)
Purchases of property, plant and equipment (337) (215) (218)
Acquisition of intangible assets and other assets (3) (57) (50)
Purchases of marketable securities (12) (27) (17)
Proceeds from sale of marketable securities 14 26 22
Proceeds from sale of assets and businesses, net of costs to sell 7 5 5
Interest settlements from cross-currency swaps 13 13 0
Net cash used in investing activities (454) (2,145) (303)
Cash Flows From Financing Activities      
Issuance of long-term debt, net of discounts 661 3,291 6,836
Repayments of long-term debt (1,460) (1,710) (7,846)
Proceeds from B+L initial public offering, net of costs 0 0 675
Payment of employee withholding taxes related to share-based awards (26) (24) (31)
Payments of acquisition-related contingent consideration (27) (35) (26)
Payments of financing costs (5) (36) (71)
Other (11) (11) (11)
Net cash (used in) provided by financing activities (868) 1,475 (474)
Effect of exchange rate changes on cash and cash equivalents (36) 9 (23)
Net increase (decrease) in cash, cash equivalents, restricted cash and other settlement deposits 239 371 (1,528)
Cash, cash equivalents, restricted cash and other settlement deposits, beginning of year 962 591 2,119
Cash, cash equivalents, restricted cash and other settlement deposits, end of year 1,201 962 591
Cash and cash equivalents, end of year 1,181 947 564
Restricted cash and other settlement deposits, end of year 20 15 27
Cash, cash equivalents, restricted cash and other settlement deposits, end of year $ 1,201 $ 962 $ 591