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CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Cash Flows From Operating Activities:    
Net Earnings $ 1,283 $ 2,029
Adjustments to reconcile net earnings to net cash provided by operating activities:    
Depreciation and amortization, net 2,584 2,668
Deferred income taxes (687) 68
Stock-based compensation 107 151
Impairment charges 41 339
Pension settlements and amortization 7 11
Divestiture gains and royalties (387) (135)
Acquired IPRD 333 6
Equity investment losses/(gains) 644 (601)
Contingent consideration fair value adjustments 1 (510)
Other adjustments 248 233
Changes in operating assets and liabilities:    
Receivables 786 67
Inventories 1 106
Accounts payable 23 303
Rebates and discounts (930) (221)
Income taxes payable 831 227
Other (1,073) (917)
Net Cash Provided by Operating Activities 3,812 3,824
Cash Flows From Investing Activities:    
Sale and maturities of marketable debt securities 2,100 782
Purchase of marketable debt securities (1,714) (1,302)
Proceeds from sales of equity investment securities 2 405
Capital expenditures (253) (173)
Divestiture and other proceeds 402 180
Acquisition and other payments, net of cash acquired (442) (35)
Net Cash Provided by/(Used in) Investing Activities 95 (143)
Cash Flows From Financing Activities:    
Short-term debt obligations, net 42 (62)
Issuance of long-term debt 5,926 0
Repayment of long-term debt (5,769) (4,522)
Repurchase of common stock (5,000) (1,775)
Dividends (1,185) (1,108)
Other 333 172
Net Cash Used in Financing Activities (5,653) (7,295)
Effect of Exchange Rates on Cash, Cash Equivalents and Restricted Cash 9 (38)
Decrease in Cash, Cash Equivalents and Restricted Cash (1,737) (3,652)
Cash, Cash Equivalents and Restricted Cash at Beginning of Period 14,316 14,973
Cash, Cash Equivalents and Restricted Cash at End of Period $ 12,579 $ 11,321