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Financing Arrangements - Long-Term Debt (Details) - USD ($)
$ in Millions
Dec. 31, 2022
Dec. 31, 2021
Debt Instrument [Line Items]    
Principal Value $ 38,234 $ 43,095
Unamortized basis adjustment from swap terminations 97 119
Unamortized bond discounts and issuance costs (284) (263)
Unamortized purchase price adjustments of Celgene debt 924 1,408
Total 38,953 44,369
Current portion of long-term debt 3,897 4,764
Long-term debt 35,056 39,605
Floating Rate Notes due 2022    
Debt Instrument [Line Items]    
Principal Value 0 500
2.000% Notes due 2022    
Debt Instrument [Line Items]    
Principal Value 0 750
2.600% Notes due 2022    
Debt Instrument [Line Items]    
Principal Value 0 1,500
3.250% Notes due 2022    
Debt Instrument [Line Items]    
Principal Value 0 1,000
3.550% Notes due 2022    
Debt Instrument [Line Items]    
Principal Value 0 1,000
0.537% Notes due 2023    
Debt Instrument [Line Items]    
Principal Value 1,500 1,500
2.750% Notes due 2023    
Debt Instrument [Line Items]    
Principal Value 750 750
3.250% Notes due 2023    
Debt Instrument [Line Items]    
Principal Value 500 500
3.250% Notes due 2023    
Debt Instrument [Line Items]    
Principal Value 890 890
7.150% Notes due 2023    
Debt Instrument [Line Items]    
Principal Value 239 239
2.900% Notes due 2024    
Debt Instrument [Line Items]    
Principal Value 2,478 2,478
3.625% Notes due 2024    
Debt Instrument [Line Items]    
Principal Value 395 395
0.750% Notes due 2025    
Debt Instrument [Line Items]    
Principal Value 1,000 1,000
1.000% Euro Notes due 2025    
Debt Instrument [Line Items]    
Principal Value 613 651
3.875% Notes due 2025    
Debt Instrument [Line Items]    
Principal Value 229 1,925
3.200% Notes due 2026    
Debt Instrument [Line Items]    
Principal Value 1,750 2,250
6.800% Notes due 2026    
Debt Instrument [Line Items]    
Principal Value 256 256
1.125% Notes due 2027    
Debt Instrument [Line Items]    
Principal Value 1,000 1,000
3.250% Notes due 2027    
Debt Instrument [Line Items]    
Principal Value 512 750
3.450% Notes due 2027    
Debt Instrument [Line Items]    
Principal Value 534 1,000
3.900% Notes due 2028    
Debt Instrument [Line Items]    
Principal Value 1,500 1,500
3.400% Notes due 2029    
Debt Instrument [Line Items]    
Principal Value 2,400 4,000
1.450% Notes due 2030    
Debt Instrument [Line Items]    
Principal Value 1,250 1,250
2.950% Notes due 2032    
Debt Instrument [Line Items]    
Principal Value 1,750 0
1.750% Euro Notes due 2035    
Debt Instrument [Line Items]    
Principal Value 613 651
5.875% Notes due 2036    
Debt Instrument [Line Items]    
Principal Value 279 279
6.125% Notes due 2038    
Debt Instrument [Line Items]    
Principal Value 219 219
4.125% Notes due 2039    
Debt Instrument [Line Items]    
Principal Value 2,000 2,000
2.350% Notes due 2040    
Debt Instrument [Line Items]    
Principal Value 750 750
5.700% Notes due 2040    
Debt Instrument [Line Items]    
Principal Value 153 193
3.550% Notes due 2042    
Debt Instrument [Line Items]    
Principal Value 1,250 0
3.250% Notes due 2042    
Debt Instrument [Line Items]    
Principal Value 500 500
5.250% Notes due 2043    
Debt Instrument [Line Items]    
Principal Value 226 280
4.500% Notes due 2044    
Debt Instrument [Line Items]    
Principal Value 342 500
4.625% Notes due 2044    
Debt Instrument [Line Items]    
Principal Value 748 748
5.000% Notes due 2045    
Debt Instrument [Line Items]    
Principal Value 758 1,768
4.350% Notes due 2047    
Debt Instrument [Line Items]    
Principal Value 1,250 1,250
4.550% Notes due 2048    
Debt Instrument [Line Items]    
Principal Value 1,272 1,486
4.250% Notes due 2049    
Debt Instrument [Line Items]    
Principal Value 3,750 3,750
2.550% Notes due 2050    
Debt Instrument [Line Items]    
Principal Value 1,500 1,500
3.700% Notes due 2052    
Debt Instrument [Line Items]    
Principal Value 2,000 0
3.900% Notes due 2062    
Debt Instrument [Line Items]    
Principal Value 1,000 0
6.875% Notes due 2097    
Debt Instrument [Line Items]    
Principal Value 63 86
0.13% - maturing through 2023    
Debt Instrument [Line Items]    
Principal Value 15 51
Interest rate swap contracts    
Debt Instrument [Line Items]    
Fair value of interest rate swap contracts $ (18) $ 10