CONSOLIDATED STATEMENT OF CASH FLOWS - USD ($) $ in Millions		9 Months Ended
		Sep. 30, 2024	Sep. 30, 2023
Cash flows from operating activities:
Net income	[1]	$ 3,109	$ 4,214
Adjustments to reconcile net income to cash provided by operating activities:
Pension settlement charge		2,725	0
Depreciation	[2]	1,644	1,568
Amortization of capitalized software and acquired intangible assets		1,910	1,676
Stock-based compensation		966	843
Net (gain)/loss on divestitures, asset sales and other	[3]	(632)	(100)
Changes in operating assets and liabilities, net of acquisitions/divestitures	[3],[4]	(607)	1,267
Net cash provided by operating activities		9,115	9,468
Cash flows from investing activities:
Payments for property, plant and equipment		(745)	(945)
Proceeds from disposition of property, plant and equipment/other		536	137
Investment in software		(496)	(417)
Acquisition of businesses, net of cash acquired		(2,748)	(4,945)
Divestitures of businesses, net of cash transferred		705	(4)
Purchases of marketable securities and other investments		(6,501)	(10,374)
Proceeds from disposition of marketable securities and other investments		5,691	6,642
Net cash provided by/(used in) investing activities		(3,558)	(9,906)
Cash flows from financing activities:
Proceeds from new debt		5,705	9,586
Payments to settle debt		(6,491)	(4,973)
Short-term borrowings/(repayments) less than 90 days — net		9	6
Common stock repurchases for tax withholdings		(539)	(338)
Financing — other		513	86
Cash dividends paid		(4,601)	(4,522)
Net cash provided by/(used in) financing activities		(5,403)	(154)
Effect of exchange rate changes on cash, cash equivalents and restricted cash		(29)	(120)
Net change in cash, cash equivalents and restricted cash		125	(713)
Cash, cash equivalents and restricted cash at January 1		13,089	7,988
Cash, cash equivalents and restricted cash at September 30		$ 13,214	$ 7,275

[1] 2024 includes the impact of a one-time, non-cash pension settlement charge. Refer to note 18, "Retirement-Related Benefits," for additional information.

[2] Includes operating lease right-of-use assets amortization expense of $0.7 billion in 2024 and 2023.

[3] Prior period has been reclassified to conform to the change in 2024 presentation.

[4] Refer to note 1, "Basis of Presentation," for additional information.