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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Cash Flows From Operating Activities:      
Net Earnings/(Loss) $ 6,345 $ 7,014 $ (8,995)
Adjustments to reconcile net earnings/(loss) to net cash provided by operating activities:      
Depreciation and amortization, net 10,276 10,686 10,380
Deferred income taxes (2,738) (1,393) 983
Stock-based compensation 457 583 779
Impairment charges 179 1,207 1,203
Divestiture gains and royalties (1,063) (684) (699)
Acquired IPRD 815 1,159 12,533
Equity investment losses/(gains), net 801 (745) (1,228)
Contingent consideration fair value adjustments (9) (542) (1,757)
Other adjustments 232 183 (134)
Changes in operating assets and liabilities:      
Receivables (663) (1,054) (646)
Inventories (69) 13 2,672
Accounts payable 109 245 188
Rebates and discounts 427 863 1,189
Income taxes payable (1,423) (1,063) (2,305)
Other (610) (265) (111)
Net Cash Provided by Operating Activities 13,066 16,207 14,052
Cash Flows From Investing Activities:      
Sale and maturities of marketable debt securities 6,411 4,196 6,280
Purchase of marketable debt securities (3,592) (5,478) (4,172)
Proceeds from sales of equity investment securities 218 2,579 129
Capital expenditures (1,118) (973) (753)
Divestiture and other proceeds 1,305 748 741
Acquisition and other payments, net of cash acquired (4,286) (1,610) (13,084)
Net Cash Used in Investing Activities (1,062) (538) (10,859)
Cash Flows From Financing Activities:      
Short-term debt obligations, net 194 (160) (267)
Issuance of long-term debt 5,926 0 6,945
Repayment of long-term debt (11,431) (6,022) (2,750)
Repurchase of common stock (8,001) (6,287) (1,546)
Dividends (4,634) (4,396) (4,075)
Stock option proceeds and other, net 984 641 542
Net Cash Used in Financing Activities (16,962) (16,224) (1,151)
Effect of Exchange Rates on Cash, Cash Equivalents and Restricted Cash (33) (102) 111
(Decrease)/Increase in Cash, Cash Equivalents and Restricted Cash (4,991) (657) 2,153
Cash, Cash Equivalents and Restricted Cash at Beginning of Year 14,316 14,973 12,820
Cash, Cash Equivalents and Restricted Cash at End of Year $ 9,325 $ 14,316 $ 14,973