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Consolidated Statements of Cash Flows - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Statement of Cash Flows [Abstract]      
Net income (loss) $ 1,846,000,000 $ 1,592,000,000 $ 698,000,000
Adjustments to reconcile net income (loss) to cash provided by (used for) operating activities      
Loss (gain) on disposal of businesses and assets 0 0 22,000,000
Depreciation and amortization 1,269,000,000 1,196,000,000 1,136,000,000
Deferred and prepaid income taxes (70,000,000) (1,000,000) (63,000,000)
Stock-based compensation expense 266,000,000 233,000,000 220,000,000
Goodwill and other intangible asset impairment charges 386,000,000 58,000,000 132,000,000
Net loss (gain) on investments and notes receivable 79,000,000 59,000,000 1,000,000
Contingent consideration net expense (benefit) (5,000,000) 58,000,000 35,000,000
Inventory step-up amortization 51,000,000 6,000,000 32,000,000
Debt extinguishment net charges 0 0 194,000,000
Other, net 74,000,000 73,000,000 125,000,000
Increase (decrease) in operating assets and liabilities, excluding purchase accounting:      
Trade accounts receivable (351,000,000) (238,000,000) (220,000,000)
Inventories (228,000,000) (660,000,000) (321,000,000)
Other assets (126,000,000) 10,000,000 (209,000,000)
Accounts payable, accrued expenses and other liabilities 243,000,000 118,000,000 (255,000,000)
Cash provided by (used for) operating activities 3,435,000,000 2,503,000,000 1,526,000,000
Investing Activities      
Purchases of property, plant and equipment and internal use software (790,000,000) (711,000,000) (588,000,000)
Proceeds from sale of property, plant and equipment 3,000,000 4,000,000 12,000,000
Payments for acquisitions of businesses, net of cash acquired (4,640,000,000) (1,811,000,000) (1,542,000,000)
Payments for investments and acquisitions of certain technologies (280,000,000) (89,000,000) (24,000,000)
Proceeds from disposal of certain businesses and assets 0 0 5,000,000
Proceeds from royalty rights 20,000,000 30,000,000 70,000,000
Proceeds from settlements of hedge contracts 0 2,000,000 56,000,000
Cash provided by (used for) investing activities (5,687,000,000) (2,574,000,000) (2,011,000,000)
Financing Activities      
Payment of contingent consideration previously established in purchase accounting (131,000,000) (39,000,000) (335,000,000)
Payments for royalty rights (26,000,000) (50,000,000) (75,000,000)
Payments for finance leases (25,000,000) 0 0
Payments on short-term borrowings (504,000,000) 0 (250,000,000)
Proceeds from short-term borrowings, net of debt issuance costs 24,000,000 0 0
Net increase (decrease) in commercial paper 187,000,000 (4,000,000) (1,000,000)
Payments on long-term borrowings and debt extinguishment costs 0 0 (3,184,000,000)
Proceeds from long-term borrowings, net of debt issuance costs 2,145,000,000 0 3,270,000,000
Cash dividends paid on preferred stock 0 (28,000,000) (55,000,000)
Cash used to net share settle employee equity awards (87,000,000) (56,000,000) (53,000,000)
Proceeds from issuances of shares of common stock pursuant to employee stock compensation and purchase plans 230,000,000 182,000,000 136,000,000
Cash provided by (used for) financing activities 1,814,000,000 5,000,000 (548,000,000)
Effect of foreign exchange rates on cash (11,000,000) (4,000,000) (9,000,000)
Net increase (decrease) in cash, cash equivalents, restricted cash and restricted cash equivalents (450,000,000) (70,000,000) (1,042,000,000)
Cash, cash equivalents, restricted cash and restricted cash equivalents at beginning of period 1,055,000,000 1,126,000,000 2,168,000,000
Cash, cash equivalents, restricted cash and restricted cash equivalents at end of period 606,000,000 1,055,000,000 1,126,000,000
Supplemental Information      
Cash paid for income taxes, net 656,000,000 512,000,000 662,000,000
Cash paid for interest 250,000,000 259,000,000 450,000,000
Fair value of contingent consideration recorded in purchase accounting 29,000,000 273,000,000 0
Non-cash impact of transferred royalty rights (20,000,000) (30,000,000) (70,000,000)
Cash and cash equivalents 414,000,000 865,000,000 928,000,000
Restricted cash and restricted cash equivalents included in Other current assets 111,000,000 130,000,000 149,000,000
Restricted cash equivalents included in Other long-term assets 80,000,000 60,000,000 48,000,000
Cash, cash equivalents, restricted cash and restricted cash equivalents at end of period $ 606,000,000 $ 1,055,000,000 $ 1,126,000,000