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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Cash flows from operating activities      
Net earnings $ 5,144 $ 1,774 $ 4,128
Adjustments to reconcile net earnings to net cash from operating activities:      
Depreciation 417 383 388
Amortization of intangible assets 419 403 509
Stock-based compensation 282 241 212
Upfront costs and milestones related to collaborations 280 1,102 338
Other, net 489 434 34
Changes in operating assets and liabilities, net of acquisitions:      
Accounts and other receivables (1,076) (172) 681
Inventories (434) (203) (56)
Prepaid expenses and other assets 511 (220) 459
Accounts payable and other liabilities 1,503 (193) (426)
Cash flows from operating activities 7,535 [1] 3,549 6,267
Cash flows from investing activities      
Acquisitions of Pharmacyclics, Inc., net of cash acquired (11,488)    
Other acquisitions and investments (964) (622) (405)
Acquisitions of property and equipment (532) (612) (491)
Purchases of investment securities (851) (1,169) (930)
Sales and maturities of investment securities 880 1,477 2,705
Other 19    
Cash flows from investing activities (12,936) (926) 879
Cash flows from financing activities      
Net change in short-term borrowings (19) 12 (601)
Proceeds from issuance of long-term debt 20,660    
Repayments of long-term debt and capital leases (4,018) (17)  
Debt issuance cost (182) (141)  
Dividends paid (3,294) (2,661) (2,555)
Purchases of treasury stock (7,567) (652) (320)
Proceeds from the exercise of stock options 142 225 347
Net transactions with Abbott Laboratories, excluding non-cash items     (247)
Other, net 30 (59) (66)
Cash flows from financing activities 5,752 (3,293) (3,442)
Effect of exchange rate changes on cash and equivalents (300) (577) (10)
Net increase (decrease) in cash and equivalents 51 (1,247) 3,694
Cash and equivalents, beginning of period 8,348 9,595 5,901
Cash and equivalents, end of period 8,399 8,348 9,595
Supplemental Schedule of Non-Cash Investing and Financing Activities      
Issuance of common stock associated with the acquisition of Pharmacyclics, Inc. 8,405    
Other supplemental information      
Interest paid, net of portion capitalized 536 419 283
Income taxes paid $ 1,108 $ 498 $ 1,305
[1] Cash flows from operating activities included the impact of transaction and financing-related and other costs incurred in connection with the terminated proposed combination with Shire plc. Refer to Note 5 for additional information.