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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Millions
9 Months Ended
Sep. 26, 2026
Sep. 27, 2025
Operating activities    
Net income $ 5,124 $ 4,751
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation of property, plant and equipment 945 758
Amortization of acquisition-related intangible assets 1,433 1,294
Change in deferred income taxes (676) (728)
Stock-based compensation 261 226
Other net non-cash expenses 360 315
Changes in assets and liabilities, excluding the effects of acquisitions (1,580) (2,255)
Net cash provided by operating activities 5,867 4,361
Investing activities    
Purchases of property, plant and equipment (1,263) (1,060)
Proceeds from sale of property, plant and equipment 14 17
Proceeds from cross-currency interest rate swap interest settlements 284 218
Acquisitions, net of cash acquired (8,877) (4,037)
Proceeds from sale of business, net of cash divested 1,021 0
Purchases of investments (668) (351)
Proceeds from sales and maturities of investments 253 254
Net proceeds from terminations of cross-currency interest rate swaps 388 0
Other investing activities, net (26) 20
Net cash used in investing activities (8,874) (4,938)
Financing activities    
Net proceeds from issuance of debt 5,238 2,840
Repayment of debt (2,519) (1,625)
Proceeds from issuance of commercial paper 389 1,095
Repayments of commercial paper (389) (597)
Purchases of company common stock (4,000) (2,963)
Dividends paid (511) (474)
Other financing activities, net 251 (1)
Net cash used in financing activities (1,541) (1,725)
Exchange rate effect on cash 164 273
Increase/(decrease) in cash, cash equivalents and restricted cash (4,384) (2,029)
Cash, cash equivalents and restricted cash at beginning of period 9,879 4,040
Cash, cash equivalents and restricted cash at end of period $ 5,494 $ 2,011