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Merck & Co. Quarterly Cash Flow Statements Chart

Quarterly
 | 
Annual
 
 Stock-Based Compensation  
 Operating Cash Flow  
 Investing Cash Flow  
 Financing Cash Flow  
 Free Cash Flow  
 Capital Expenditure  
20200930 20201231 20210331 20210630 20210930 20211231 20220331 20220630 20220930 20221231 20230331 20230630 20230930 20231231 20240331 20240630 20240930 20241231 20250331 20250630 -1.67-0.111.463.034.596.167.729.29Billion

Merck & Co. Quarterly Cash Flow Statements Table

Quarterly
 | 
Annual
 
Unit: USD2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 
                                                               
  cash flows from operating activities                                                             
  net income4,429,000,000 5,085,000,000 3,744,000,000 3,161,000,000 5,461,000,000 4,767,000,000  4,750,000,000 -5,972,000,000 2,825,000,000        3,186,000,000 -2,091,000,000 2,944,000,000 3,010,000,000 3,219,000,000 2,363,000,000 1,908,000,000 2,644,000,000 2,862,000,000 1,778,000,000 1,958,000,000 1,716,000,000 741,000,000 -1,038,000,000 -51,000,000 1,951,000,000 1,556,000,000 -587,000,000 2,189,000,000 1,209,000,000 1,130,000,000 982,000,000 1,831,000,000 688,000,000 958,000,000 7,327,000,000 843,000,000 2,033,000,000 1,731,000,000 815,000,000 1,151,000,000 1,543,000,000 1,724,000,000 2,054,000,000 1,071,000,000 -500,000,000 371,600,000 780,200,000 330,200,000 805,000,000  589,000,000 435,000,000 291,000,000 
  adjustments to reconcile net income to net cash from operating activities:                                                             
  amortization601,000,000 597,000,000 675,000,000 633,000,000 614,000,000 473,000,000 462,000,000 562,000,000 477,000,000 543,000,000 462,000,000 460,000,000 464,000,000 699,000,000 405,000,000 360,000,000 337,000,000 534,000,000                                            
  depreciation518,000,000 502,000,000 522,000,000 553,000,000 518,000,000 511,000,000 502,000,000 452,000,000 426,000,000 448,000,000 430,000,000 499,000,000 474,000,000 421,000,000 430,000,000 399,000,000 353,000,000 396,000,000                                            
  income from investments in equity securities-99,000,000 -90,000,000  31,000,000 -57,000,000 -143,000,000         -405,000,000                                               
  charge for research and development asset acquisition                                                             
  deferred income taxes-448,000,000 -186,000,000 -616,000,000 -401,000,000 -181,000,000 -51,000,000 -931,000,000 -336,000,000 -355,000,000 -277,000,000 -307,000,000 -661,000,000 -262,000,000 -338,000,000 159,000,000 -1,000,000 39,000,000 -10,000,000 -715,000,000 -75,000,000 40,000,000 82,000,000 -170,000,000 -237,000,000 -343,000,000 194,000,000 -118,000,000 -133,000,000 -228,000,000 -30,000,000 -2,020,000,000 -329,000,000 -218,000,000 -54,000,000 -1,456,000,000 55,000,000 -50,000,000 -70,000,000 82,000,000 -463,000,000 -204,000,000 -179,000,000 -827,000,000 -527,000,000 -942,000,000 -304,000,000 202,000,000 -213,000,000 -563,000,000 -133,000,000 -627,000,000 -214,000,000 -349,200,000 -423,900,000 -471,100,000 152,200,000      
  share-based compensation216,000,000 195,000,000 187,000,000 195,000,000 203,000,000 176,000,000 167,000,000 164,000,000 169,000,000 145,000,000 145,000,000 139,000,000 137,000,000 120,000,000 119,000,000 117,000,000 123,000,000 120,000,000 121,000,000 125,000,000 121,000,000 108,000,000 111,000,000 102,000,000 111,000,000 93,000,000 87,000,000 91,000,000 90,000,000 80,000,000 80,000,000 76,000,000 82,000,000 74,000,000 75,000,000 77,000,000 80,000,000 68,000,000 78,000,000 75,000,000 83,000,000 63,000,000 69,000,000 75,000,000 78,000,000 56,000,000 66,000,000 68,000,000 82,000,000 87,000,000 107,000,000 93,000,000 109,500,000 125,300,000 141,800,000 132,400,000      
  other335,000,000 109,000,000 -101,000,000 437,000,000 91,000,000 83,000,000 449,000,000 -99,000,000 202,000,000 -197,000,000 132,000,000 393,000,000 633,000,000 143,000,000 306,000,000 1,025,000,000 -195,000,000 -331,000,000 396,000,000 -243,000,000 -345,000,000 143,000,000 -35,000,000 105,000,000 -6,000,000 120,000,000 393,000,000 156,000,000 379,000,000 50,000,000 300,000,000 -94,000,000 91,000,000 -28,000,000 66,000,000 50,000,000 100,000,000 97,000,000 60,000,000 120,000,000 26,000,000 551,000,000 -45,000,000 142,000,000 -77,000,000 -115,000,000 112,000,000 -85,000,000 530,000,000 249,000,000 -234,000,000 -222,000,000 -66,600,000 6,600,000 249,000,000 188,000,000 2,000,000     
  net changes in assets and liabilities-2,259,000,000 -3,712,000,000  2,582,000,000 -1,012,000,000 -3,382,000,000  2,177,000,000 -1,636,000,000 -2,890,000,000  263,000,000 -1,399,000,000 -1,299,000,000  -139,000,000 -1,551,000,000 -2,104,000,000  -1,445,000,000 -527,000,000 -3,666,000,000  -91,000,000 -443,000,000 -2,935,000,000  -760,000,000 199,000,000 -1,473,000,000  -2,922,000,000 198,000,000 -2,535,000,000  -564,000,000 -1,563,000,000 -875,000,000  223,000,000 -392,000,000 -618,000,000  2,068,000,000 -415,000,000 -703,000,000  1,315,000,000  821,000,000 -418,000,000 -1,067,000,000  787,100,000 1,058,500,000 -1,064,000,000      
  net cash from operating activities3,293,000,000 2,500,000,000 3,450,000,000 9,291,000,000 5,637,000,000 3,090,000,000  7,717,000,000 3,704,000,000 1,339,000,000     -64,000,000 -740,000,000 1,791,000,000 4,006,000,000 2,173,000,000 3,367,000,000 707,000,000 4,794,000,000 4,226,000,000 3,084,000,000 1,336,000,000 3,592,000,000 2,793,000,000 3,382,000,000 1,155,000,000 4,015,000,000 -1,171,000,000 3,317,000,000 286,000,000 3,632,000,000 2,971,000,000 1,615,000,000 2,158,000,000 4,247,000,000 3,305,000,000 2,585,000,000 2,284,000,000 -1,164,000,000 4,348,000,000 2,315,000,000 2,361,000,000 3,026,000,000 3,949,000,000 3,233,000,000 4,577,000,000 2,852,000,000 1,721,000,000 3,539,100,000 2,591,900,000 3,324,900,000 1,366,100,000 556,000,000 599,000,000 1,191,000,000   
  cash flows from investing activities                                                             
  capital expenditures-764,000,000 -1,328,000,000 -937,000,000 -783,000,000 -791,000,000 -861,000,000 -989,000,000 -902,000,000 -965,000,000 -1,007,000,000 -1,149,000,000 -1,126,000,000 -1,129,000,000 -984,000,000 -1,208,000,000 -1,172,000,000 -934,000,000 -1,134,000,000 -1,514,000,000 -1,516,000,000 -668,000,000 -986,000,000 -1,137,000,000 -959,000,000 -782,000,000 -595,000,000 -929,000,000 -653,000,000 -583,000,000 -450,000,000 -715,000,000 -441,000,000 -393,000,000 -339,000,000 -551,000,000 -409,000,000 -375,000,000 -279,000,000 -493,000,000 -316,000,000 -271,000,000 -203,000,000 -490,000,000 -320,000,000 -302,000,000 -205,000,000 -429,000,000 -355,000,000 -603,000,000 -431,000,000 -365,000,000 -324,000,000 -660,300,000 -337,900,000 -337,000,000 -342,800,000 -161,000,000  -172,000,000 -195,000,000 -175,000,000 
  free cash flows2,529,000,000 1,172,000,000 2,513,000,000 8,508,000,000 4,846,000,000 2,229,000,000  6,815,000,000 2,739,000,000 332,000,000     -1,272,000,000 -1,172,000,000 -1,674,000,000 657,000,000 2,492,000,000 657,000,000 2,699,000,000 -279,000,000 3,657,000,000 3,267,000,000 2,302,000,000 741,000,000 2,663,000,000 2,140,000,000 2,799,000,000 705,000,000 3,300,000,000 -1,612,000,000 2,924,000,000 -53,000,000 3,081,000,000 2,562,000,000 1,240,000,000 1,879,000,000 3,754,000,000 2,989,000,000 2,314,000,000 2,081,000,000 -1,654,000,000 4,028,000,000 2,013,000,000 2,156,000,000 2,597,000,000 3,594,000,000 2,630,000,000 4,146,000,000 2,487,000,000 1,397,000,000 2,878,800,000 2,254,000,000 2,987,900,000 1,023,300,000 395,000,000  1,019,000,000   
  purchases of securities and other investments-612,000,000 -595,000,000 -455,000,000 -49,000,000 -15,000,000 -251,000,000 -117,000,000 -25,000,000 -562,000,000 -494,000,000 -5,000,000 -333,000,000 -372,000,000 -1,000,000 -17,000,000 -1,000,000 -28,000,000 -49,000,000 -822,000,000 -570,000,000 -836,000,000 -974,000,000 -1,095,000,000 -1,651,000,000 -3,922,000,000 -1,326,000,000 -2,342,000,000 -2,117,000,000 -3,351,000,000 -2,929,000,000 -5,567,000,000 -3,729,000,000 -3,988,000,000 -2,367,000,000 -4,256,000,000 -3,804,000,000 -3,582,000,000 -5,039,000,000 -8,713,000,000 -3,851,000,000 -5,555,000,000 -6,825,000,000 -4,914,000,000 -4,259,000,000 -2,639,000,000 -1,620,000,000 -1,684,000,000 -1,382,000,000 -1,370,900,000 -1,590,900,000 -1,302,500,000 -2,932,700,000      
  proceeds from sales of securities and other investments601,000,000 456,000,000 7,000,000 50,000,000 60,000,000 260,000,000 169,000,000 704,000,000 285,000,000 500,000,000 12,000,000 335,000,000 373,000,000 1,000,000 529,000,000 111,000,000 386,000,000 918,000,000 2,000,000 76,000,000 1,816,000,000 1,163,000,000 2,524,000,000 3,036,000,000 1,899,000,000 4,009,000,000 3,840,000,000 5,555,000,000 1,848,000,000 3,131,000,000 3,170,000,000 2,544,000,000 6,819,000,000 3,053,000,000 3,912,000,000 2,768,000,000 4,620,000,000 3,882,000,000 3,903,000,000 6,341,000,000 6,287,000,000 3,307,000,000 3,705,000,000 5,470,000,000 2,632,000,000 6,475,000,000 2,628,000,000 1,409,000,000 1,850,000,000 1,366,000,000 1,524,000,000 834,700,000 2,026,700,000 1,426,900,000 272,700,000      
  acquisition of harpoon therapeutics, inc., net of cash acquired  -746,000,000                                                        
  net cash from investing activities-770,000,000 -1,487,000,000 -1,444,000,000 -3,845,000,000 -1,069,000,000 -1,376,000,000  -334,000,000 -11,443,000,000 -2,359,000,000     604,000,000 -738,000,000 -4,778,000,000 -2,155,000,000 -882,000,000 -1,628,000,000 -763,000,000 191,000,000 -2,425,000,000 368,000,000 2,178,000,000 1,660,000,000 673,000,000 -197,000,000 -58,000,000 671,000,000 -1,127,000,000 3,193,000,000 -2,563,000,000 -890,000,000 -1,498,000,000 1,741,000,000 -617,000,000 -61,000,000 2,525,000,000 -6,605,000,000 7,204,000,000 -3,722,000,000 -49,000,000 -3,807,000,000 1,177,000,000 -2,037,000,000 -1,684,000,000 -263,000,000 -1,048,000,000 105,000,000 -1,007,500,000 194,800,000   -861,000,000     
  cash flows from financing activities                                                             
  net change in short-term borrowings              -3,000,000 -4,771,000,000 788,000,000 2,860,000,000 -2,278,000,000 -1,616,000,000 3,583,000,000 182,000,000 -360,000,000 603,000,000 -4,135,000,000 2,830,000,000 225,000,000 2,070,000,000 -1,000,000 -1,988,000,000 1,986,000,000 -3,808,000,000 3,784,000,000  918,000,000   -14,000,000 3,000,000 -3,706,000,000 2,177,000,000 -3,537,000,000 4,963,000,000 -5,035,000,000 3,149,000,000 -310,000,000 -1,551,000,000 -280,000,000 -40,000,000 1,593,000,000 -197,000,000 -1,483,000,000 -84,700,000 -962,700,000 2,620,400,000 -2,000,000  -167,000,000 -4,000,000 -36,000,000 
  proceeds from issuance of debt  -1,000,000   -7,000,000           -26,000,000   4,958,000,000         1,071,000,000   -2,000,000 -1,000,000 7,941,000,000 3,145,000,000                
  payments on debt-2,500,000,000 -539,000,000 -751,000,000 -3,000,000 -1,000,000 -1,750,000,000 -1,000,000 -1,000,000 -1,000,000,000 -1,250,000,000 -1,166,000,000 -1,153,000,000 -3,000,000 -2,000,000 -1,000,000 -1,951,000,000     -1,280,000,000 1,000,000 -2,005,000,000 -1,003,000,000 -802,000,000 -1,000,000 -300,000,000 -35,000,000 -1,500,000,000 -851,000,000 -1,000,000 -3,000,000 -2,902,000,000 -6,610,000,000 -2,000,000 -2,000,000 -3,000,000 -1,260,000,000 -270,000,000 -12,000,000 -1,261,000,000 -4,000,000 -651,700,000 -63,200,000 -3,800,000 -622,300,000      
  dividends paid to stockholders-2,077,000,000 -2,050,000,000 -1,951,000,000 -1,953,000,000 -1,986,000,000 -1,950,000,000 -1,852,000,000 -1,855,000,000 -1,885,000,000 -1,853,000,000 -1,750,000,000 -1,747,000,000 -1,770,000,000 -1,745,000,000 -1,643,000,000 -1,649,000,000 -1,673,000,000 -1,645,000,000 -1,542,000,000 -1,545,000,000 -1,577,000,000 -1,551,000,000 -1,405,000,000 -1,394,000,000 -1,468,000,000 -1,428,000,000 -1,277,000,000 -1,285,000,000 -1,311,000,000 -1,299,000,000 -1,283,000,000 -1,283,000,000 -1,307,000,000 -1,294,000,000 -1,271,000,000 -1,274,000,000 -1,300,000,000 -1,279,000,000 -1,263,000,000 -1,272,000,000 -1,302,000,000 -1,280,000,000 -1,259,000,000 -1,282,000,000 -1,339,000,000 -1,290,000,000 -1,260,000,000 -1,259,000,000 -1,165,000,000 -1,175,000,000 -1,176,000,000 -1,175,000,000 -1,174,800,000 -1,181,300,000 -1,189,300,000 -1,188,600,000      
  purchases of treasury stock-1,345,000,000 -1,164,000,000 -489,000,000 -444,000,000 -251,000,000 -122,000,000 -393,000,000 -466,000,000 -338,000,000 -149,000,000     -18,000,000 -583,000,000   -1,281,000,000 -1,050,000,000 -1,405,000,000 -1,235,000,000 -1,090,000,000 -5,933,000,000 -996,000,000 -1,596,000,000 -566,000,000 -1,702,000,000 -159,000,000 -1,134,000,000 -1,019,000,000 -1,016,000,000 -845,000,000 -660,000,000 -913,000,000 -1,181,000,000 -1,281,000,000 -709,000,000 -1,015,000,000 -1,620,000,000 -2,670,000,000 -2,246,000,000 -1,167,000,000 -196,000,000 -215,000,000 -562,000,000 -1,045,000,000   300,000 -296,100,000        
  proceeds from exercise of stock options12,000,000 19,000,000 12,000,000 5,000,000 73,000,000 87,000,000 6,000,000 7,000,000 82,000,000 30,000,000 265,000,000 10,000,000 97,000,000 12,000,000 134,000,000 17,000,000 42,000,000 9,000,000 21,000,000 28,000,000 14,000,000 26,000,000 17,000,000 40,000,000 131,000,000 173,000,000 130,000,000 162,000,000 69,000,000 230,000,000 18,000,000 73,000,000 95,000,000 313,000,000 149,000,000 409,000,000 179,000,000 202,000,000 51,000,000 57,000,000 135,000,000 242,000,000 179,000,000 247,000,000 203,000,000 931,000,000 401,000,000 168,000,000 127,000,000 32,000,000 125,000,000 37,000,000 50,100,000 75,700,000 41,900,000 195,300,000      
  net cash from financing activities-3,556,000,000 -5,755,000,000 -3,009,000,000 -2,425,000,000 1,216,000,000 -2,814,000,000  -4,269,000,000 3,758,000,000 -2,054,000,000     1,594,000,000 -2,098,000,000 1,372,000,000 -3,851,000,000 1,137,000,000 -1,490,000,000 -2,011,000,000 -3,152,000,000 -2,084,000,000 -1,614,000,000 -5,566,000,000 -1,905,000,000 -2,967,000,000 -2,722,000,000 -5,785,000,000 536,000,000 -6,218,000,000 1,461,000,000 -1,977,000,000 -835,000,000 -3,381,000,000 -2,851,000,000 -2,407,000,000 -2,533,000,000 -5,485,000,000 5,155,000,000 -9,643,000,000 1,279,000,000 -8,369,000,000 1,620,000,000 -2,624,000,000 -2,915,000,000 -2,231,000,000 -2,244,000,000 -1,257,000,000 -1,172,000,000 -1,294,900,000 -1,625,000,000   -181,000,000   -465,000,000 -184,000,000 
  effect of exchange rate changes on cash, cash equivalents and restricted cash374,000,000 156,000,000 -367,000,000 294,000,000 -82,000,000 -138,000,000 186,000,000 -157,000,000 -93,000,000 87,000,000 366,000,000 -412,000,000 -309,000,000 -55,000,000 -68,000,000 -46,000,000 78,000,000 -97,000,000 164,000,000 87,000,000 65,000,000 -63,000,000 43,000,000 -54,000,000 8,000,000 20,000,000 -65,000,000 -32,000,000 -262,000,000 154,000,000                                
  net increase in cash, cash equivalents and restricted cash  -1,370,000,000 3,315,000,000   -1,760,000,000 2,957,000,000 -4,074,000,000 -2,987,000,000 1,494,000,000 1,526,000,000 1,139,000,000 447,000,000 -1,879,000,000 1,416,000,000     3,687,000,000 -2,474,000,000 2,063,000,000   110,000,000 139,000,000 2,516,000,000 826,000,000 -1,610,000,000                                
  cash, cash equivalents and restricted cash at beginning of year13,318,000,000 6,909,000,000 12,773,000,000 8,167,000,000 -12,000,000 8,165,000,000 9,934,000,000 7,967,000,000 6,096,000,000                                
  cash, cash equivalents and restricted cash at end of period-659,000,000 8,732,000,000  3,315,000,000 5,702,000,000 5,671,000,000  2,957,000,000 -4,074,000,000 9,786,000,000  1,526,000,000 1,139,000,000 8,614,000,000  1,416,000,000 1,607,000,000 7,023,000,000  -3,746,000,000 3,687,000,000 7,460,000,000  1,211,000,000 -1,417,000,000 8,077,000,000  2,516,000,000 826,000,000 4,486,000,000                                
  alliance revenue - lynparza58,000,000 312,000,000   25,000,000 292,000,000  -11,000,000 35,000,000 275,000,000                                                    
  alliance revenue - koselugo-1,000,000 44,000,000   -1,000,000 38,000,000  1,000,000 2,000,000 23,000,000                                                    
  total alliance revenue57,000,000 356,000,000   24,000,000 330,000,000  -10,000,000 37,000,000 298,000,000                                                    
  cost of sales3,000,000 83,000,000   82,000,000  4,000,000 8,000,000 70,000,000                                                    
  selling, general and administrative8,000,000 32,000,000   4,000,000 39,000,000  -7,000,000 4,000,000 47,000,000                                                    
  research and development4,000,000 12,000,000   -2,000,000 20,000,000  1,000,000 1,000,000 21,000,000                                                    
  receivables from astrazeneca included in other current assets 358,000,000    334,000,000    303,000,000                                                    
  payables to astrazeneca included in accrued and other current liabilities 15,000,000    617,000,000    21,000,000                                                    
  net decrease in cash, cash equivalents and restricted cash -4,586,000,000    -1,238,000,000            -1,142,000,000                                            
  intangible asset impairment charges      779,000,000    839,000,000 887,000,000       1,683,000,000 15,000,000   176,000,000 612,000,000 148,000,000 104,000,000     270,000,000 245,000,000 51,000,000 80,000,000 3,376,000,000 5,000,000 290,000,000 277,000,000 82,000,000 7,000,000 59,000,000 14,000,000 13,000,000 549,000,000   171,000,000 244,000,000 22,000,000            
  (income) income from investments in equity securities      -100,000,000 34,000,000 176,000,000 -450,000,000                                                    
  charges for certain research and development asset acquisitions                                                             
  net changes in assets and liabilities:                                                             
  accounts receivable                                                        -292,000,000 223,000,000 275,000,000 -24,000,000 -383,000,000 
  inventories                                                        -239,000,000 161,000,000 -23,000,000 26,000,000 -138,000,000 
  trade accounts payable                                                             
  accrued and other current liabilities                                                             
  income taxes payable                                                             
  noncurrent liabilities                                                             
  proceeds from sale of seagen inc. common stock                                                             
  acquisition of eyebiotech limited, net of cash acquired                                                            
  acquisition of elanco animal health incorporated aqua business  -2,000,000                                                           
  acquisition of mk-1045 from curon pharmaceutical                                                             
  acquisition of prometheus biosciences, inc., net of cash acquired                                                           
  acquisition of imago biosciences inc., net of cash acquired                                                             
  cash, cash equivalents and restricted cash at end of year                                                             
  property, plant and equipment                                                             
  product rights - clynav                                                             
  other product rights                                                             
  other assets and liabilities                                                             
  total identifiable net assets                                                             
  goodwill                                                             
  consideration transferred                                                             
  charge for the acquisition of eyebiotech limited                                                             
  charge for the acquisition of mk-1045 (formerly cn201) from curon pharmaceutical                                                             
  charge for the acquisition of harpoon therapeutics, inc.   656,000,000                                                        
  charge for the acquisition of prometheus biosciences, inc.                                                           
  charge for the acquisition of imago biosciences, inc.      1,192,000,000                                                    
  acquisition of mk-1045 (formerly cn201) from curon pharmaceutical                                                             
  acquisition of imago biosciences, inc., net of cash acquired       -1,327,000,000                                                    
  payables to astrazeneca included in other noncurrent liabilities         600,000,000                                                    
  cash flows from operating activities of continuing operations                                                             
  net income from continuing operations          3,018,000,000 3,252,000,000 3,949,000,000 4,307,000,000 3,824,000,000 4,571,000,000                                              
  adjustments to reconcile net income from continuing operations to net cash from operating activities of continuing operations:                                                             
  charge for the acquisition of pandion therapeutics, inc.                                                           
  net cash from operating activities of continuing operations          4,430,000,000 5,602,000,000 4,302,000,000 4,761,000,000                                                
  cash flows from investing activities of continuing operations                                                             
  acquisition of acceleron pharma inc., net of cash acquired                                                             
  acquisition of pandion therapeutics, inc., net of cash acquired                                                             
  other acquisitions, net of cash acquired             -90,000,000 1,000,000 -76,000,000 -14,000,000 -458,000,000 -586,000,000   -25,000,000 1,000,000                                      
  net cash from investing activities of continuing operations          -1,748,000,000 -962,000,000 -1,077,000,000 -1,173,000,000                                                
  cash flows from financing activities of continuing operations                                                             
  distribution from organon & co.                                                           
  net cash from financing activities of continuing operations          -1,554,000,000 -2,702,000,000 -1,777,000,000 -3,086,000,000                                                
  cash flows from discontinued operations                                                             
  net cash flows from discontinued operations              -64,000,000                                              
  cash and cash equivalents                                                             
  investments                                                             
  identifiable intangible assets:                                                             
  ipr&d - sotatercept                                                             
  product rights - reblozyl                                                             
  deferred income tax liabilities                                                             
  loss (income) from investments in equity securities          58,000,000 370,000,000 283,000,000 708,000,000                                                
  charge for the acquisition of velosbio inc.                                                             
  purchase of seagen inc. common stock                                                             
  acquisition of velosbio inc., net of cash acquired                                                             
  acquisition of arqule, inc., net of cash acquired                  -2,545,000,000                                        
  less: cash and cash equivalents related to discontinued operations                                                             
  years ended december 31                                                             
  sales                                                             
  costs, expenses and other                                                             
  restructuring costs                                                             
  other income                                                             
  income from discontinued operations before taxes                                                             
  tax provision                                                             
  income from discontinued operations, net of taxes                                                             
  less: income of discontinued operations attributable to noncontrolling interests                                                             
  income tax benefit                                                             
  charge for the acquisition of peloton therapeutics, inc.                                                             
  acquisition of antelliq corporation, net of cash acquired                                                           
  acquisition of peloton therapeutics, inc., net of cash acquired                                                            
  discontinued operations                                                             
  adjustments to reconcile net income from continuing operations to net cash from operating activities:                                                             
  net cash from operating activities from continuing operations               4,797,000,000                                              
  acquisition of pandion therapeutics, inc. net of cash acquired                                                            
  net cash from investing activities from continuing operations               -1,061,000,000                                              
  net cash from financing activities from continuing operations               -2,274,000,000                                              
  charge for future payments related to collaboration license options                                                            
  depreciation and amortization                   852,000,000 1,048,000,000 821,000,000 936,000,000 845,000,000 973,000,000 898,000,000 1,095,000,000 1,061,000,000 1,226,000,000 1,137,000,000 1,128,000,000 1,154,000,000 1,162,000,000 1,193,000,000 1,155,000,000 1,175,000,000 1,550,000,000 1,561,000,000 1,560,000,000 1,570,000,000 1,608,000,000 1,637,000,000 1,573,000,000 1,611,000,000 1,753,000,000 1,754,000,000 1,954,000,000 1,705,000,000 1,861,000,000 1,903,000,000 1,832,000,000 1,831,000,000 1,866,000,000 1,879,900,000 1,947,700,000 1,687,400,000 296,000,000  394,000,000 543,000,000 876,000,000 
  charge for acquisition of peloton therapeutics, inc.                                                             
  provisional charge for one-time transition tax related to the enactment of u.s. tax legislation                                                             
  charge for collaboration termination                                                             
  charge related to the settlement of worldwide keytruda patent litigation                                                             
  acquisitions, net of cash acquired                          -59,000,000                                   
  charge for future payments related to eisai collaboration license options                            650,000,000                                
  acquisitions of businesses, net of cash acquired                               -41,000,000 -306,000,000                 -104,200,000 -10,500,000 -10,000,000 -131,300,000      
  charge for future payments related to astrazeneca collaboration license options                              -250,000,000                               
  foreign currency devaluation related to venezuela                                      161,000,000                       
  net charge related to the settlement of vioxx shareholder class action litigation                                                             
  equity income from affiliates                                  -27,000,000 -21,000,000 -4,000,000 -34,000,000 5,000,000 -63,000,000 -2,000,000 -145,000,000 -16,000,000 -24,000,000 -93,000,000 -124,000,000 -53,000,000 -102,000,000 -256,000,000 -161,000,000 -55,000,000 -138,000,000 -170,200,000 -236,400,000 -42,900,000 -137,500,000      
  dividends and distributions from equity method affiliates                                                             
  acquisition of cubist pharmaceuticals, inc., net of cash acquired                                      -7,598,000,000                    
  acquisitions of other businesses, net of cash acquired                                  -2,000,000 -621,000,000 -10,000,000 -147,000,000 -36,000,000                       
  dispositions of businesses, net of cash divested                                       126,000,000    490,000,000 25,000,000 533,000,000   17,000,000 306,000,000          
  effect of exchange rate changes on cash and cash equivalents                              19,000,000 79,000,000 106,000,000 253,000,000 -484,000,000 53,000,000 156,000,000 144,000,000 -247,000,000 -85,000,000 -683,000,000 -295,000,000 -326,000,000 -278,000,000 18,000,000 33,000,000 -48,000,000 3,000,000 -40,000,000 -159,000,000 100,000,000 141,000,000 -210,700,000 47,100,000 104,200,000 -235,600,000      
  net increase in cash and cash equivalents                              -1,809,000,000 115,000,000 -3,922,000,000 5,193,000,000 -1,392,000,000   1,192,000,000 976,000,000   539,000,000 -3,929,000,000 1,627,000,000 -6,085,000,000 207,000,000 1,531,000,000 -1,000,000,000 -722,000,000 1,911,000,000 647,000,000 795,000,000 1,026,000,000 1,208,800,000 429,600,000 -1,075,400,000   454,000,000   
  cash and cash equivalents at beginning of year                              6,515,000,000 8,524,000,000 7,441,000,000 15,621,000,000 10,900,000,000 -400,000 9,311,400,000      
  cash and cash equivalents at end of year                                                             
  cash and cash equivalents at end of period                               115,000,000 -3,922,000,000 11,708,000,000  1,299,000,000 -3,108,000,000 9,716,000,000  626,000,000 -1,058,000,000 7,980,000,000  1,627,000,000 -6,085,000,000 15,828,000,000  -1,000,000,000  1,911,000,000 647,000,000 11,695,000,000  1,208,800,000 429,600,000 8,236,000,000      
  gain on divestiture of merck consumer care business                                                             
  gain on astrazeneca option exercise                                                          
  loss on extinguishment of debt                                                             
  divestiture of merck consumer care business, net of cash divested                                                             
  dispositions of other businesses, net of cash divested                                                             
  proceeds from astrazeneca option exercise                                                          
  acquisition of idenix pharmaceuticals, inc., net of cash acquired                                                            
  acquisition of bayer ag collaboration rights                                                             
  cash inflows from net investment hedges                                                             
  other dividends paid                                                             
  dividends and distributions from equity affiliates                                   5,000,000 3,000,000 4,000,000  5,000,000 4,000,000 3,000,000  7,000,000 59,000,000 66,000,000 59,000,000 110,000,000 30,000,000 65,000,000 56,000,000 65,000,000 60,200,000 81,700,000 104,700,000 77,400,000      
  net decrease in cash and cash equivalents                                                             
  foreign exchange losses related to venezuela                                                             
  gain on divestiture of merck consumer care                                                             
  divestiture of consumer care business, net of cash divested                                                             
  gain on divestiture of certain ophthalmic products                                                             
  gain on disposition of interest in equity method investment                                                             
  proceeds from sale of interest in equity method investment                                                             
  cash inflows (outflows) from net investment hedges                                                             
  gain on astrazeneca lp asset option exercise                                                             
  proceeds from astrazeneca lp asset option exercise                                                             
  decrease in restricted assets                                                             
  gain related to merck/schering-plough partnership                                                             
  schering-plough merger, net of cash acquired                                                             
  supplemental cash flow information                                                             
  gain on astrazeneca asset option exercise                                                             
  in-process research and development impairment charges                                                   302,000,000          
  increase in restricted assets                                                     200,000 18,100,000 -25,100,000      
  gains on distributions from astrazeneca lp                                                             
  gain on disposition of interest in merial limited                                                             
  proceeds from sale of interest in merial limited                                                             
  distributions from astrazeneca lp                                                             
  decrease (increase) in restricted assets                                                             
  proceeds from the issuance of debt                                                            
  net cash (used by) provided by investing activities                                                       -3,148,100,000      
  net cash from (used by) financing activities                                                       942,200,000      
  gain on distribution from astrazeneca lp                                                             
  u.s. vioxx settlement agreement charge                                                             
  in-process research and development                                                             
  taxes paid for internal revenue service settlement                                                             
  distribution from astrazeneca lp                                                             
  net cash from (used by) investing activities                                                             
  net cash used by financing activities                                                             
  operating activities:                                                             
  accrued share-based compensation                                                        48,000,000  52,000,000 58,000,000 60,000,000 
  special, merger and acquisition-related charges and payments                                                        -8,000,000     
  gain on sale of divested products                                                             
  changes in assets and liabilities:                                                             
  prepaid expenses and other assets                                                        47,000,000 24,000,000 -8,000,000 -92,000,000 78,000,000 
  accounts payable                                                        88,000,000  37,000,000   
  other liabilities                                                        -189,000,000  -22,000,000   
  investing activities:                                                             
  dispositions of property and equipment                                                        1,000,000  2,000,000 4,000,000 27,000,000 
  contributions to benefit-related trusts                                                             
  proceeds from divested products                                                             
  purchases of short-term investments                                                        -708,000,000     
  maturities of short-term investments                                                        5,000,000  17,000,000 -15,000,000 25,000,000 
  financing activities:                                                             
  payments of long-term debt                                                        -71,000,000  -466,000,000   
  cash dividends paid to common shareholders                                                        -106,000,000  -106,000,000 -106,000,000 -105,000,000 
  cash dividends paid to preferred shareholders                                                        -38,000,000  -38,000,000 -37,000,000 -38,000,000 
  stock option exercises                                                        36,000,000  11,000,000 2,000,000 2,000,000 
  effect of exchange rates on cash and cash equivalents                                                        -42,000,000  -55,000,000 20,000,000 
  cash and cash equivalents, beginning of period                                                        3,373,000,000 -1,788,000,000 2,279,000,000 
  cash and cash equivalents, end of period                                                        2,845,000,000 -2,955,000,000 454,000,000 251,000,000 2,454,000,000 
  net (decrease)/increase in cash and cash equivalents                                                             
  net (decrease) / increase in cash and cash equivalents                                                        -528,000,000     
  income from operations                                                             
  adjustments to reconcile income from operations to net cash from operating activities:                                                             
  rebates payable                                                             
  payable to merck and schering-plough                                                             
  accrued expenses and other liabilities                                                             
  non-cash charges                                                             
  contributions from partners                                                             
  distributions to partners                                                             
  net increase/(decrease) in cash and cash equivalents                                                            175,000,000 
  balance, january 1, 2006                                                             
  balance, december 31, 2006                                                             
  balance, december 31, 2007                                                             
  balance, december 31, 2008                                                             
  special and acquisition-related charges and payments                                                          57,000,000   
  purchases of derivative instruments                                                             
  change in fair value of foreign currency option                                                             
  payments to u.s. taxing authorities                                                             
  net cash (used for)/provided by investing activities                                                          85,000,000 -206,000,000 -123,000,000 
  proceeds from preferred stock issuance                                                             
  proceeds from common stock issuance                                                             
  issuance of long-term debt                                                             
  net cash (used for)/provided by financing activities                                                             
  purchase of derivative currency option                                                             
  accounts payable and other liabilities                                                            -322,000,000 
  net cash provided by/(used for) operating activities                                                            462,000,000 
  balance, january 1, 2005                                                             
  balance, december 31, 2005                                                             

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