| 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 | Dec 31, 2012 | Dec 31, 2011 | Dec 31, 2010 | Dec 31, 2009 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cash flows from operating activities: | ||||||||||||||||||
Net income | $ 8,743 | $ 7,711 | $ 4,090 | $ 6,717 | ||||||||||||||
Noncash adjustments to reconcile net income to net cash provided by operating activities: | ||||||||||||||||||
Depreciation, amortization and other | 4,667 | 5,167 | 5,592 | 4,071 | ||||||||||||||
Impairment of intangible assets | 400 | 1,200 | - | - | ||||||||||||||
Write-off of acquired in-process research and development | - | - | - | - | ||||||||||||||
Stock-based compensation expense | 492 | 494 | 530 | 431 | ||||||||||||||
Deferred income taxes | (516) | (721) | (1,228) | (1,273) | ||||||||||||||
Acquired in-process research and development | - | - | - | 0 | ||||||||||||||
Adjustments for equity method investments | - | - | (10) | 11 | ||||||||||||||
Loss on divestiture | - | - | 0 | 0 | ||||||||||||||
(Gains) losses on equity securities | (1,022) | (2,064) | 159 | (1,565) | ||||||||||||||
Property, plant and equipment impairments | - | - | - | - | ||||||||||||||
Dividend received from equity investee | - | - | - | - | ||||||||||||||
Other items, net | 230 | 149 | (8) | 563 | ||||||||||||||
Changes in operating assets and liabilities, net of acquisitions: | ||||||||||||||||||
Trade receivables, net | (1,533) | (2,676) | 441 | (1,015) | ||||||||||||||
Inventories | 346 | 886 | 2,532 | 491 | ||||||||||||||
Other assets | (1,182) | (1,267) | (652) | (564) | ||||||||||||||
Accounts payable | (157) | 428 | 312 | (402) | ||||||||||||||
Accrued income taxes, net | 185 | (2,068) | (1,011) | (1,031) | ||||||||||||||
Long-term tax liabilities | 297 | 311 | (492) | 371 | ||||||||||||||
Accrued liabilities | 491 | 499 | 92 | - | ||||||||||||||
Accrued sales incentives and allowance | 1,230 | 2,065 | 1,194 | 935 | ||||||||||||||
Long-term tax liability | - | - | - | - | ||||||||||||||
Legal reserve | - | - | - | - | ||||||||||||||
Other liabilities | (193) | (156) | (51) | 731 | ||||||||||||||
Other accrued liabilities | - | - | - | - | ||||||||||||||
Deferred revenue | - | - | - | - | ||||||||||||||
Net cash provided by operating activities | 12,478 | 9,958 | 11,490 | 8,471 | ||||||||||||||
Cash flows from investing activities: | ||||||||||||||||||
Cash paid for acquisitions, net of cash acquired | (53) | (53) | 0 | (26,989) | ||||||||||||||
Purchases of marketable securities | - | - | 0 | (1) | ||||||||||||||
Purchases of intangible assets | - | - | - | - | ||||||||||||||
Proceeds from sales of marketable securities | 0 | 0 | 0 | 1,123 | ||||||||||||||
Proceeds from maturities of marketable securities | 0 | 0 | 0 | 550 | ||||||||||||||
Purchases of property, plant and equipment | (2,303) | (1,858) | (1,096) | (1,112) | ||||||||||||||
Purchases of equity method investments | - | - | - | - | ||||||||||||||
Proceeds from Divestiture of Businesses, Net of Cash Divested | - | - | - | - | ||||||||||||||
Proceeds from sales of property, plant and equipment | - | - | - | - | ||||||||||||||
Change in restricted investments, net | - | - | - | - | ||||||||||||||
Other | (36) | (32) | 50 | 225 | ||||||||||||||
Net cash used in investing activities | (2,392) | (1,943) | (1,046) | (26,204) | ||||||||||||||
Cash flows from financing activities: | ||||||||||||||||||
Net proceeds from issuance of debt | - | 0 | 0 | 27,777 | ||||||||||||||
Extinguishment of debt | (314) | (683) | (659) | (647) | ||||||||||||||
Repayment of debt | (2,333) | (5,000) | (3,600) | (1,454) | ||||||||||||||
Net proceeds from issuance of commercial paper | - | - | - | - | ||||||||||||||
Repayments of commercial paper | - | - | - | - | ||||||||||||||
Repurchases of common stock | 0 | 0 | (200) | 0 | ||||||||||||||
Dividends paid | (5,285) | (5,124) | (4,832) | (4,556) | ||||||||||||||
Settlement of contingent consideration obligations | - | - | - | - | ||||||||||||||
Net proceeds from issuance of common stock in connection with the Company’s equity award programs | - | - | - | - | ||||||||||||||
Settlement of contingent consideration obligations | - | - | - | - | ||||||||||||||
Withholding taxes arising from shares withheld for share-based payments | - | - | - | - | ||||||||||||||
Other | (157) | (52) | (124) | (72) | ||||||||||||||
Net cash (used in) provided by financing activities | (4,125) | (10,859) | (9,415) | 21,048 | ||||||||||||||
(Decrease) increase in cash and cash equivalents | - | - | - | - | ||||||||||||||
(Decrease) increase in cash and cash equivalents | $ 5,961 | $ (2,844) | $ 1,029 | $ 3,315 |