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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 income $ 4,194 $ 3,162
Noncash adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation, amortization and other 2,228 2,728
Impairment of intangible assets 0 800
Stock-based compensation expense 240 242
Deferred income taxes (467) (672)
Loss (gain) on equity securities 301 (741)
Other items, net 8 (73)
Changes in operating assets and liabilities, net of acquisitions:    
Trade receivables, net (680) (1,823)
Inventories (13) 527
Other assets (322) (407)
Accounts payable 501 1,086
Accrued income taxes, net (60) (2,313)
Long-term tax liabilities 148 162
Accrued liabilities (58) (50)
Accrued sales incentives and allowance 278 1,113
Other liabilities (107) (70)
Net cash provided by operating activities 6,191 3,671
Cash flows from investing activities:    
Purchases of property, plant and equipment (1,225) (780)
Other (60) (56)
Net cash used in investing activities (1,285) (836)
Cash flows from financing activities:    
Net proceeds from issuance of debt 3,964 0
Extinguishment of debt (233) (602)
Repayment of debt (833) (3,500)
Dividends paid (2,720) (2,559)
Other (224) (119)
Net cash used in financing activities (46) (6,780)
Increase (decrease) in cash and cash equivalents 4,860 (3,945)
Cash and cash equivalents at beginning of period 9,129 11,973
Cash and cash equivalents at end of period $ 13,989 $ 8,028