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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Operating Activities    
Net income before allocation to noncontrolling interests $ 1,278 $ 1,116
Adjustments to reconcile net income before noncontrolling interests to net cash provided by operating activities:    
Depreciation and amortization expense 332 303 [1],[2]
Share-based compensation expense 46 51
Asset write-offs and asset impairments 12 6
Net gain on sale of assets 19 20
Provision for losses on inventory 56 44
Deferred taxes (40) (30)
Employee benefit plan contribution from Pfizer Inc. 2 2
Loss on treasury locks (6) 0
Other non-cash adjustments 9 (11)
Other changes in assets and liabilities, net of acquisitions and divestitures:    
Accounts receivable 69 (18)
Inventories (294) (103)
Other assets (150) (39)
Accounts payable 49 (28)
Other liabilities (49) (68)
Other tax accounts, net 113 8
Net cash provided by operating activities 1,408 1,213
Investing Activities    
Capital expenditures (301) (294)
Other acquisitions (108) (137)
Proceeds from maturities and redemptions of investments 0 89
Settlement on swaps designated as net investment hedges (8) 37
Net proceeds from sale of assets 21 20
Other investing activities 1 (6)
Net cash used in investing activities (395) (291)
Financing Activities    
Increase/(decrease) in short-term borrowings, net 1 (9)
Proceeds from issuance of long-term debt—senior notes, net of discount 1,240 0
Payment of contingent consideration related to previously acquired assets 0 (9)
Acquisition of a noncontrolling interest, net of cash acquired 3 0
Share-based compensation-related proceeds, net of taxes paid on withholding shares 23 2
Purchases of treasury stock (250) (450)
Cash dividends paid (285) (235)
Payment of debt issuance costs (12) 0
Net cash provided by/(used in) financing activities 720 (701)
Effect of exchange-rate changes on cash and cash equivalents (13) (8)
Net increase in cash and cash equivalents 1,720 213
Cash and cash equivalents at beginning of period 1,934 1,602
Cash and cash equivalents at end of period 3,654 1,815
Cash paid during the period for:    
Income taxes 305 293
Interest, net of capitalized interest 217 220
Amounts included in the measurement of lease liabilities 31 28
Non-cash transactions:    
Capital expenditures 3 5
Lease obligations obtained in exchange for right-of-use assets $ 38 $ 230
[1] Certain production facilities are shared. Depreciation and amortization is allocated to the reportable operating segments based on estimates of where the benefits of the related assets are realized.
[2] Defined as income before provision for taxes on income.