CONSOLIDATED STATEMENT OF CASH FLOWS - USD ($) $ in Millions		9 Months Ended
		Sep. 30, 2026	Sep. 30, 2025
Cash flows from operating activities:
Net income		$ 5,571	$ 4,993
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation	[1]	1,638	1,698
Amortization of capitalized software and acquired intangible assets		2,363	2,027
Stock-based compensation		1,539	1,285
Net (gain)/loss on divestitures, asset sales and other		(124)	(46)
Changes in operating assets and liabilities, net of acquisitions/divestitures		804	(804)
Net cash provided by operating activities		11,791	9,153
Cash flows from investing activities:
Payments for property, plant and equipment		(793)	(709)
Proceeds from disposition of property, plant and equipment/other		60	118
Investment in software		(467)	(476)
Purchases of marketable securities and other investments		(4,769)	(8,910)
Proceeds from disposition of marketable securities and other investments		3,763	6,162
Acquisition of businesses, net of cash acquired		(11,364)	(7,903)
Divestiture of businesses, net of cash transferred		30	(1)
Net cash provided by/(used in) investing activities		(13,539)	(11,719)
Cash flows from financing activities:
Proceeds from new debt		9,415	8,391
Payments to settle debt		(7,261)	(3,679)
Short-term borrowings/(repayments) less than 90 days — net		3	(29)
Common stock repurchases for tax withholdings		(817)	(851)
Proceeds from issuance of shares		562	535
Noncontrolling interest transactions	[2],[3]	557	(15)
Financing — other	[2]	(98)	(93)
Cash dividends paid		(4,762)	(4,681)
Net cash provided by/(used in) financing activities		(2,402)	(423)
Effect of exchange rate changes on cash, cash equivalents and restricted cash		(209)	429
Net change in cash, cash equivalents and restricted cash		(4,359)	(2,561)
Cash, cash equivalents and restricted cash at January 1		13,640	14,160
Cash, cash equivalents and restricted cash at September 30		$ 9,282	$ 11,600

[1] Includes operating lease right-of-use assets amortization expense of $0.6 billion in 2026 and 2025.

[2] Prior-year amounts have been reclassified to conform to the change in 2026 presentation.

[3] Refer to "Other Transactions" in note 5, "Acquisition, Divestitures and Other Transactions," for additional information.