| USD ($) $ in Millions | LTM | Dec 31, 2025 | Dec 31, 2024 | Dec 31, 2023 | Dec 31, 2022 | Dec 31, 2021 | Dec 31, 2020 | Dec 31, 2019 | Dec 31, 2018 | Dec 31, 2017 | Dec 31, 2016 | Dec 31, 2015 | Dec 31, 2014 | Dec 31, 2013 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cash flows from operating activities | ||||||||||||||
Net earnings | $ 6,316 | $ 4,233 | $ 4,286 | $ 4,873 | ||||||||||
Adjustments to reconcile net earnings to net cash from operating activities: | ||||||||||||||
Depreciation | 777 | 762 | 764 | 752 | ||||||||||
Amortization of intangible assets | 7,092 | 7,377 | 7,622 | 7,946 | ||||||||||
Deferred income taxes | (250) | (492) | (1,449) | (2,889) | ||||||||||
Change in fair value of contingent consideration liabilities | 6,087 | 6,495 | 3,771 | 5,128 | ||||||||||
Payments of contingent consideration liabilities | (3,241) | (2,865) | (1,995) | (870) | ||||||||||
Stock-based compensation | 976 | 955 | 911 | 747 | ||||||||||
Acquired IPR&D and milestones | 5,016 | 5,016 | 2,757 | 778 | ||||||||||
Other charges related to collaborations | - | - | - | 0 | ||||||||||
Gain on divestitures | - | - | 0 | 0 | ||||||||||
Non-cash litigation reserve adjustments, net of cash payments | (97) | (933) | 508 | (443) | ||||||||||
Devaluation loss related to Venezuela | - | - | - | - | ||||||||||
Impairment of intangible assets | 847 | 847 | 4,476 | 4,229 | ||||||||||
Impacts related to U.S. tax reform | - | - | - | - | ||||||||||
Acquired in-process research and development | - | - | - | - | ||||||||||
Other, net | (117) | (3) | (63) | (225) | ||||||||||
Changes in operating assets and liabilities, net of acquisitions: | ||||||||||||||
Accounts receivable | (1,276) | (1,490) | 207 | 66 | ||||||||||
Accounts and other receivables | - | - | - | - | ||||||||||
Inventories | (350) | (234) | (319) | (417) | ||||||||||
Prepaid expenses and other assets | (908) | (827) | 361 | (188) | ||||||||||
Accounts payable and other liabilities | 740 | 951 | 177 | 3,840 | ||||||||||
Income tax assets and liabilities, net | (2,069) | (762) | (3,208) | (488) | ||||||||||
Cash flows from operating activities | 19,507 | 19,030 | 18,806 | 22,839 | ||||||||||
Cash flows from investing activities | ||||||||||||||
Acquisition of businesses, net of cash acquired | 0 | (204) | (17,493) | 0 | ||||||||||
Other acquisitions and investments, net of cash acquired | (5,053) | (5,237) | (3,024) | (1,223) | ||||||||||
Acquisitions of property and equipment | (1,297) | (1,214) | (974) | (777) | ||||||||||
Purchases of investment securities | - | (35) | (73) | (77) | ||||||||||
Sales and maturities of investment securities | - | 76 | 555 | 55 | ||||||||||
Other, net | (172) | (29) | 189 | 13 | ||||||||||
Cash flows from investing activities | (6,498) | (6,643) | (20,820) | (2,009) | ||||||||||
Cash flows from financing activities | ||||||||||||||
Net change in commercial paper borrowings with original maturities of three months or less | (1,549) | 499 | - | - | ||||||||||
Proceeds from Short-Term Debt | 791 | 4,798 | 5,008 | - | ||||||||||
Repayments of Other Short-Term Debt | (4,798) | (2,798) | (5,008) | - | ||||||||||
Net change in short-term borrowings | - | - | - | - | ||||||||||
Proceeds from issuance of long-term debt | 7,991 | 3,994 | 16,963 | - | ||||||||||
Repayments of long-term debt and finance lease obligations | (2,017) | (6,797) | (9,613) | (4,149) | ||||||||||
Debt issuance costs | (23) | (23) | (99) | (38) | ||||||||||
Dividends paid | (11,978) | (11,657) | (11,025) | (10,539) | ||||||||||
Purchases of treasury stock | (1,505) | (980) | (1,708) | (1,972) | ||||||||||
Proceeds from the exercise of stock options | - | 172 | 214 | 180 | ||||||||||
Payments of contingent consideration liabilities | 0 | 0 | 0 | (752) | ||||||||||
Net transactions with Abbott Laboratories, excluding noncash items | - | - | - | - | ||||||||||
Other, net | 63 | 68 | 57 | 48 | ||||||||||
Cash flows from financing activities | (12,891) | (12,724) | (5,211) | (17,222) | ||||||||||
Effect of exchange rate changes on cash and equivalents | (16) | 42 | (65) | 5 | ||||||||||
Net change in cash and equivalents | 102 | (295) | (7,290) | 3,613 | ||||||||||
Net (decrease) increase in cash and equivalents | - | - | - | - | ||||||||||
Other supplemental information | ||||||||||||||
Interest paid, net of portion capitalized | 3,002 | 3,002 | 2,811 | 2,469 | ||||||||||
Income taxes received | - | - | - | - | ||||||||||
Income taxes paid | - | - | 4,064 | 4,702 | ||||||||||
Supplemental schedule of non-cash investing and financing activities | ||||||||||||||
Issuance of common shares associated with acquisitions of businesses | - | - | - | - |