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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Cash provided by (used for) operating activities    
Net income (loss) $ 672 $ 493
Depreciation and amortization 325 304
Deferred and prepaid income taxes 41 31
Stock-based compensation expense 74 63
Net loss (gain) on investments and notes receivable 28 2
Contingent consideration net expense (benefit) 5 17
Inventory step-up amortization 81 0
Other, net (7) (4)
Trade accounts receivable (107) (114)
Inventories (109) (124)
Other assets (77) (55)
Accounts payable, accrued expenses and other liabilities (385) (450)
Cash provided by (used for) operating activities 541 164
Investing activities:    
Purchases of property, plant and equipment and internal use software (187) (179)
Payments for acquisitions of businesses, net of cash acquired (239) (47)
Payments for investments and acquisitions of certain technologies (77) (66)
Other, net 3 7
Cash provided by (used for) investing activities (500) (285)
Financing activities:    
Payment of contingent consideration previously established in purchase accounting 0 (34)
Payments for royalty rights (10) (15)
Payments for finance leases (36) (25)
Payments on short-term borrowings (1,083) (504)
Net increase (decrease) in commercial paper (192) 0
Proceeds from long-term borrowings, net of debt issuance costs 1,558 2,145
Cash used to net share settle employee equity awards (118) (78)
Proceeds from issuances of common stock pursuant to employee stock compensation and purchase plans 115 80
Cash provided by (used for) financing activities 233 1,569
Effect of foreign exchange rates on cash 39 (7)
Net increase (decrease) in cash, cash equivalents, restricted cash and restricted cash equivalents 314 1,441
Cash, cash equivalents, restricted cash and restricted cash equivalents at beginning of period 606 1,055
Cash, cash equivalents, restricted cash and restricted cash equivalents at end of period 919 2,496
Supplemental Information    
Stock-based compensation expense 74 63
Non-cash impact of transferred royalty rights (4) (7)
Cash and cash equivalents 725 2,329
Restricted cash and restricted cash equivalents included in Other current assets 103 93
Restricted cash equivalents included in Other long-term assets 91 74
Cash, cash equivalents, restricted cash and restricted cash equivalents at end of period $ 919 $ 2,496