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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Cash Flows From Operating Activities    
Net income (loss) $ 42 $ (78)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Depreciation and amortization of intangible assets 612 638
Amortization and write-off of debt premiums, discounts and issuance costs 56 28
Asset impairments 0 6
Acquisition-related contingent consideration (40) (6)
Allowances for losses on trade receivable and inventories 36 32
Deferred income taxes (51) (101)
Net gain on sale of assets 0 (5)
Adjustments to accrued legal settlements 5 27
Payments of accrued legal settlements (106) (4)
Share-based compensation 89 69
Gain excluded from hedge effectiveness (6) (6)
Gain on extinguishment of debt (178) (23)
Payments of contingent consideration adjustments, including accretion (4) (5)
Amortization of interim contract and inventory step-up resulting from acquisitions 42 40
Foreign exchange and other (23) (18)
Changes in operating assets and liabilities:    
Trade receivables 19 (135)
Inventories (23) (176)
Prepaid expenses and other current assets (34) 119
Accounts payable, accrued and other liabilities 64 189
Net cash provided by operating activities 500 591
Cash Flows From Investing Activities    
Acquisitions and other investments (12) 0
Purchases of property, plant and equipment (214) (160)
Acquisition of intangible assets and other assets (10) (2)
Purchases of marketable securities (5) (5)
Proceeds from sale of marketable securities 5 7
Proceeds from sale of assets and businesses, net of costs to sell 0 2
Interest settlements from cross-currency swaps 6 6
Net cash used in investing activities (230) (152)
Cash Flows From Financing Activities    
Issuance of long-term debt, net of discounts 10,422 155
Repayments of long-term debt (10,135) (885)
Payments of employee withholding taxes related to share-based awards (19) (18)
Payments of acquisition-related contingent consideration (12) (12)
Payments of financing costs (36) (4)
Other (8) 0
Net cash provided by (used in) financing activities 212 (764)
Effect of exchange rate changes on cash, cash equivalents and restricted cash 60 (14)
Net increase (decrease) in cash, cash equivalents and restricted cash 542 (339)
Cash, cash equivalents and restricted cash, beginning of period 1,201 962
Cash, cash equivalents and restricted cash, end of period 1,743 623
Cash and cash equivalents 1,727 595
Restricted cash 16 28
Cash, cash equivalents and restricted cash, end of period $ 1,743 $ 623