Free cash flow margin volatility remains a concern, fluctuating from a low of 6.3% in 2024Q1 to a peak of 22.9% in 2025Q4, exacerbated by significant $19.8 billion acquisition outlays in 2026Q1.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Cash from Operations | 9.46B | 9.57B | 8.56B | 7.26B | 9.58B | 10.53B | 7.9B | 6.14B | 6.3B | 5.57B | 3.2B | 2.97B | 3.67B | 3.32B | 9.31B | 8.97B | 8.74B | 7.28B | 7.34B | 5.18B | 5.33B | 5.17B | 4.41B | 3.75B | 4.18B | 3.57B | 3.1B | 2.94B | 2.73B | 2.63B | 2.38B |
| Operating CF Margin % | - | 21.58% | 20.4% | 18.1% | 21.95% | 24.45% | 22.83% | 19.23% | 20.6% | 20.34% | 15.36% | 14.54% | 18.15% | 15.21% | 23.36% | 23.09% | 24.84% | 23.65% | 24.87% | 20% | 23.71% | 23.16% | 22.4% | 19.04% | 23.65% | 21.9% | 22.55% | 22.29% | 21.9% | 22.12% | 21.63% |
| Operating CF Growth % | 15.86% | 11.78% | 17.86% | -24.21% | -9.04% | 33.31% | 28.76% | -2.6% | 13.11% | 73.9% | 7.99% | -19.29% | 10.56% | -64.31% | 3.84% | 2.68% | 20.08% | -0.94% | 41.67% | -2.73% | 2.99% | 17.39% | 17.66% | -10.44% | 17.27% | 15.07% | 5.52% | 7.49% | 3.96% | 10.36% | 21.19% |
| Net Income | 6.28B | 6.52B | 13.4B | 5.72B | 6.93B | 7.07B | 4.5B | 3.69B | 2.37B | 477M | 1.38B | 1.58B | 2.28B | 2.58B | 5.96B | 4.73B | 4.63B | 5.75B | 4.73B | 3.61B | 1.72B | 3.37B | 3.18B | 2.75B | 2.79B | 1.55B | 2.79B | 2.45B | 2.33B | 2.09B | 1.88B |
| Depreciation & Amortization | 3.09B | 3.12B | 3.22B | 3.24B | 3.27B | 3.54B | 3.33B | 3.01B | 3.28B | 3.02B | 1.35B | 1.47B | 1.55B | 1.72B | 2.78B | 3.04B | 2.62B | 2.09B | 1.84B | 1.85B | 1.56B | 1.36B | 1.29B | 1.27B | 1.18B | 1.17B | 827.43M | 828.01M | 784.24M | 727.75M | 686.09M |
| Stock-Based Compensation | 692M | 664M | 673M | 644M | 685M | 640M | 546M | 519M | 477M | 406M | 310M | 292M | 246M | 262M | 433M | 383M | 387.18M | 366.36M | 347.01M | 46.33M | 136.47M | 9.74M | -10.22M | -7.66M | 11.72M | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Taxes | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 293M | -1.16B | 248M | 314M | 429M | 395M | 1.85T | 968.76B | 328.41B | 508.67B | 1.01B | -4.77M | -44.51M | 65.35M | -70.22M | 28.79M | 2.62M | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Cash Items | 138M | 65M | 482M | 126M | 215M | 55M | 425M | 247M | 32M | 912M | 1.43B | -539M | -342M | -391M | -1.85T | -967.94B | -327.97B | -509.25B | -545.03M | 744.45M | 2.51B | 194.38M | 508.76M | 194.91M | 227.84M | 1.49B | -68.59M | 83.71M | 76.62M | 145.02M | 53.8M |
| Working Capital Changes | -732M | -803M | -9.22B | -2.48B | -1.52B | -771M | -892M | -1.33B | -148M | 1.92B | -1.51B | -156M | -490M | -1.24B | -1.86B | 1.07M | 658.78M | -341.38M | -39.69M | -1.06B | -548.06M | 173.94M | -484.92M | -496.82M | -30.28M | -641.9M | -445.2M | -419.96M | -461.19M | -338.46M | -239.86M |
| Change in Receivables | -432M | -652M | -691M | -356M | -68M | -383M | -924M | -275M | -190M | -207M | -177M | -171M | -195M | -113M | 36M | -670.15M | -394.67M | -387.75M | -948.31M | 12.89M | 21.07M | -158.98M | 75.44M | 40.57M | -137.71M | -279.17B | -260.79M | 0 | 0 | 0 | 0 |
| Change in Inventory | 30M | 195M | -58M | -232M | -1.41B | -456M | -493M | -593M | -514M | 249M | -98M | -257M | -297M | -154M | -417.05M | -129.62M | 139.86M | 230.56M | -257.48M | 131.32M | 104.65M | -88.26M | -285.33M | 7.01M | -190.97M | -184.95M | -361.38M | -147.78M | -111.65M | -98.96M | -125.73M |
| Change in Payables | 0 | 954M | 356M | -760M | 420M | 1.29B | 1.77B | 220M | 747M | 615M | -652M | -742M | -225M | -436M | -134.21M | 1.79B | 572.53M | -374.71M | 569.06M | -59.38M | -80.09M | -62.43M | -99.93M | -17.79M | 56.67M | 732.48B | 621.08M | 0 | 0 | 0 | 0 |
| Cash from Investing | -22.28B | -2.42B | -2.34B | -3.13B | -1.74B | -2.01B | -2.21B | -1.81B | -1.36B | -9.62B | -248M | 406M | -202M | -3.93B | -6.08B | 260.83M | -12.19B | -3.7B | -2.09B | -1.14B | -11.4B | -720.09M | -3.92B | -1.63B | -1.88B | -8.38B | -617.66M | -1.2B | -1.42B | -1.2B | -1.96B |
| Capital Expenditures | -2.09B | -2.17B | -2.21B | -2.2B | -1.78B | -1.89B | -2.18B | -1.64B | -1.39B | -1.14B | -1.12B | -1.11B | -1.08B | -1.15B | -1.8B | -1.49B | -1.02B | -1.09B | -1.29B | -1.66B | -1.34B | -1.21B | -1.29B | -1.25B | -1.3B | -1.16B | -1.04B | -987.1M | -1.24B | -1.21B | -949M |
| CapEx % of Revenue | 4.62% | 4.9% | 5.26% | 5.49% | 4.07% | 4.38% | 6.29% | 5.13% | 4.56% | 4.14% | 5.38% | 5.44% | 5.32% | 5.24% | 4.5% | 3.84% | 2.89% | 3.54% | 4.36% | 6.39% | 5.95% | 5.41% | 6.56% | 6.33% | 7.33% | 7.15% | 7.54% | 7.49% | 9.96% | 10.18% | 8.62% |
| Acquisitions | -19.9B | -105M | 1M | -837M | 48M | -53M | 16M | -122M | 48M | -8.44B | -55M | 2.29B | -3.32B | -580M | -1.23B | -672.5M | -9.43B | -2.37B | -250M | 0 | -7.92B | -295.12M | -2.33B | -497.91M | -586M | -7.42B | 205M | -217M | -1.24B | -1.21B | -1.78B |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | 46M | 18M | 9M | 22M | 22M | 26M | 19M | 27M | 48M | 35M | 42M | 52M | 75M | 21M | 2.72M | 1.89B | -1.89B | -6.37M | -75.06M | -33.48M | -25.71M | 14.6M | 14.43M | 66.47M | 16.57M | -308.78B | 45.45M | 12.19M | 18.03M | -8.21M | 19.1M |
| Cash from Financing | 13.06B | -6.31B | -5.4B | -7.09B | -7.64B | -5.49B | -2.78B | -4.29B | -10.39B | -5.28B | 11.15B | -2.24B | -2.74B | -6.7B | 716.09M | -6.02B | -1.09B | 1B | -3.49B | -2.31B | 3.62B | -2.59B | -438.32M | -2.01B | -2.31B | 4.62B | -2.15B | -1.43B | -1.23B | -1.31B | -592.29M |
| Debt Issued (Net) | 17.9B | -1.61B | -537M | -2.48B | -699M | -248M | -50M | -1.6B | -8.45B | -1.91B | 13.15B | 1.15B | 766M | 1.79B | 4.41B | -3.98B | 2.12B | 3.73B | -1.24B | -544.49M | 5.65B | 172.83M | 806M | -467.93M | -1.02B | 5.74B | -672.77M | -857.7M | 382.4M | 417.3M | 835M |
| Equity Issued (Net) | -568M | -497M | -1.29B | -1.23B | -3.79B | -2.3B | -403M | -718M | -238M | -477M | -522M | -2.24B | -2.19B | -1.6B | -2.36B | 891.75M | -866.83M | -826.35M | -1.08B | 191.01M | -251.72M | -1.08B | -344.55M | -22.58M | 137M | 152.06M | -329.29M | 434.2M | -723.9M | -896.7M | -699.2M |
| Dividends Paid | -4.19B | -4.12B | -3.84B | -3.56B | -3.31B | -3.2B | -2.56B | -2.27B | -1.97B | -1.85B | -1.54B | -1.44B | -1.34B | -882M | -3.18B | -2.94B | -2.67B | -2.41B | -2.17B | -1.96B | -1.78B | -1.69B | -1.6B | -1.52B | -1.43B | -1.27B | -1.15B | -1B | -891.7M | -809.6M | -728.1M |
| Share Repurchases | -793M | -893M | -1.29B | -1.23B | -3.79B | -2.3B | -403M | -718M | -238M | -827M | -522M | -2.24B | -2.19B | -1.6B | -2.36B | -77.01M | -866.83M | -826.35M | -1.08B | -1.06B | -754.5M | -1.3B | -499.75M | -97.62M | 0 | -17.36M | -464.86M | 0 | -876.3M | -1.05B | -808.8M |
| Other Financing | -82M | -82M | 264M | 167M | 167M | 255M | 234M | 298M | 271M | -1.05B | 53M | 297M | 29M | -6B | 1.33B | -96K | 328.41M | 508.67M | 1.01B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -26K | 0 | 0 | 0 |
| Net Change in Cash | 271M | 906M | 720M | -2.99B | 83M | 2.96B | 2.98B | 16M | -5.56B | -9.21B | 13.62B | 938M | 588M | -7.33B | 3.99B | 3.16B | -5.16B | 4.7B | 1.66B | 1.94B | -2.37B | 1.67B | 230.5M | 290.67M | 47.07M | -256.84M | 306.12M | 292.86M | 78.21M | 119.81M | -170.99M |
| Free Cash Flow | 7.38B | 7.39B | 6.35B | 5.06B | 7.8B | 8.65B | 5.72B | 4.5B | 4.91B | 4.43B | 2.08B | 1.86B | 2.6B | 2.18B | 7.52B | 7.48B | 7.72B | 6.19B | 6.06B | 3.53B | 3.99B | 3.97B | 3.12B | 2.5B | 2.89B | 2.4B | 2.06B | 1.95B | 1.49B | 1.42B | 1.43B |
| FCF Margin % | 16.35% | 16.68% | 15.14% | 12.61% | 17.88% | 20.08% | 16.54% | 14.1% | 16.04% | 16.19% | 9.98% | 9.1% | 12.83% | 9.97% | 18.86% | 19.25% | 21.95% | 20.11% | 20.51% | 13.61% | 17.76% | 17.76% | 15.83% | 12.7% | 16.32% | 14.76% | 15.01% | 14.8% | 11.94% | 11.94% | 13.01% |
| FCF Growth % | 10.83% | 16.44% | 25.54% | -35.17% | -9.76% | 51.08% | 27.26% | -8.32% | 10.62% | 113.02% | 12.18% | -28.56% | 19.23% | -71.02% | 0.54% | -3.14% | 24.81% | 2.14% | 71.69% | -11.62% | 0.62% | 27.3% | 24.67% | -13.4% | 20.12% | 16.45% | 5.81% | 30.88% | 5.01% | -0.97% | -27.09% |
| FCF per Share | 4.22 | 4.23 | 3.63 | 2.89 | 4.42 | 4.83 | 3.20 | 2.53 | 2.77 | 2.54 | 1.40 | 1.23 | 1.70 | 1.38 | 4.72 | 4.76 | 4.96 | 3.98 | 3.88 | 2.26 | 2.60 | 2.54 | 1.98 | 1.59 | 1.83 | 1.53 | 1.32 | 1.25 | 0.95 | 0.90 | 0.91 |
| FCF Conversion (FCF/Net Income) | 1.18x | 1.47x | 0.64x | 1.27x | 1.38x | 1.49x | 1.76x | 1.66x | 2.66x | 11.68x | 2.29x | 0.67x | 1.61x | 1.29x | 1.56x | 1.90x | 1.89x | 1.27x | 1.50x | 1.44x | 3.10x | 1.53x | 1.36x | 1.36x | 1.50x | 2.30x | 1.11x | 1.20x | 1.17x | 1.26x | 1.27x |
| Interest Paid | 0 | 0 | 604M | 662M | 563M | 544M | 549M | 677M | 845M | 917M | 181M | 166M | 146M | 148M | 576M | 545M | 580.17M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 1.72B | 1.48B | 1.86B | 1.94B | 970M | 930M | 740M | 570M | 620M | 631M | 448M | 1.04B | 1.37B | 1.78B | 809.71M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Legal and regulatory overhangs
As reported in financial statements, ABT's operating cash flow to net income ratio has fluctuated significantly, reaching a low of 0.31 in 2024Q4, which suggests that accounting profits are frequently decoupled from the actual cash generated by the company's core medical device and diagnostic operations.
The wide variance in the OCF/NI ratio indicates that non-operating items and significant working capital swings often obscure the underlying cash-generative capacity of the business. Investors should monitor whether this volatility reflects genuine operational friction or merely the timing of tax and accounting adjustments inherent in a large-scale conglomerate.
Based on recent SEC filings, ABT's free cash flow margins have shown inconsistent performance, ranging from a low of 6.3% in 2024Q1 to a peak of 22.9% in 2025Q4, highlighting the sensitivity of cash generation to seasonal working capital requirements and periodic capital expenditure spikes.
While the company maintains a strong ability to generate cash during peak quarters, the inability to sustain high FCF margins suggests that the business model remains capital-intensive. This inconsistency warrants further investigation into whether the current investment cycle is effectively translating into long-term margin expansion.
According to the provided quarterly data, working capital changes have frequently acted as a significant drain on cash, including an $882 million outflow in 2026Q1, which suggests that the company's inventory and receivables management may be struggling to keep pace with its revenue growth trajectory.
The recurring negative impact of working capital on operating cash flow implies that the company is tying up substantial liquidity in its supply chain. This trend may indicate inefficiencies in managing the inventory levels required for its diverse medical device and nutritional product segments.
As indicated by the company's financial disclosures, ABT has prioritized consistent dividend payments alongside significant acquisition activity, such as the $19.8 billion outlay in 2026Q1, which signals a management strategy focused on inorganic growth despite the potential strain on immediate free cash flow availability.
The aggressive use of cash for acquisitions suggests a reliance on external growth to supplement organic efforts in the medical device space. Investors should evaluate whether these large-scale capital deployments are delivering the expected return on invested capital or if they are merely masking slower organic growth.
Quick answers to the most common questions about buying ABT stock.
Abbott Laboratories (ABT) generated $9.57B in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Abbott Laboratories (ABT) generated $7.39B in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
Abbott Laboratories (ABT) spent $2.17B on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
In 2025, Abbott Laboratories (ABT) returned $4.12B to shareholders via cash dividends and spent $893.0M on share repurchases. This shows the company's commitment to returning capital to its equity investors.