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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Cash Flows From Operating Activities    
Net (loss) income $ (1,171) $ 42
Adjustments to reconcile net (loss) income to net cash provided by operating activities:    
Depreciation and amortization of intangible assets 576 612
Amortization and write-off of debt premiums, discounts and issuance costs 35 56
Asset impairments 9 0
Goodwill impairments 1,426 0
Acquisition-related contingent consideration 18 (40)
Allowances for losses on trade receivable and inventories 45 36
Deferred income taxes 47 (51)
Net gain on sale of assets (3) 0
Adjustments to accrued legal settlements 16 5
Payments of accrued legal settlements (177) (106)
Share-based compensation 106 89
Gain excluded from hedge effectiveness (4) (6)
Loss (gain) on extinguishment of debt 1 (178)
Payments of contingent consideration adjustments, including accretion (5) (4)
Amortization of inventory step-up resulting from acquisitions 3 42
Foreign exchange and other 4 (23)
Changes in operating assets and liabilities:    
Trade receivables 78 19
Inventories (36) (23)
Prepaid expenses and other current assets 9 (34)
Accounts payable, accrued and other liabilities (77) 64
Net cash provided by operating activities 900 500
Cash Flows From Investing Activities    
Acquisitions and other investments (15) (12)
Purchases of property, plant and equipment (186) (214)
Acquisition of intangible assets and other assets (38) (10)
Purchases of marketable securities (6) (5)
Proceeds from sale of marketable securities 5 5
Proceeds from sale of assets and businesses, net of costs to sell 3 0
Interest settlements from cross-currency swaps 5 6
Net cash used in investing activities (232) (230)
Cash Flows From Financing Activities    
Issuance of long-term debt, net of discounts 2,886 10,422
Repayments of long-term debt and other financial liabilities (2,969) (10,135)
Payments of employee withholding taxes related to share-based awards (42) (19)
Payments of acquisition-related contingent consideration (14) (12)
Payments of financing costs (1) (36)
Other (9) (8)
Net cash (used in) provided by financing activities (149) 212
Effect of exchange rate changes on cash, cash equivalents and restricted cash (6) 60
Net increase in cash, cash equivalents and restricted cash 513 542
Cash, cash equivalents and restricted cash, beginning of period 1,325 1,201
Cash, cash equivalents and restricted cash, end of period 1,838 1,743
Cash and cash equivalents 1,825 1,727
Restricted cash 13 16
Cash, cash equivalents and restricted cash, end of period $ 1,838 $ 1,743