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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
$ in Millions
6 Months Ended
Jun. 30, 2023
USD ($)
Jun. 30, 2022
USD ($)
Operating Activities    
Net income before allocation to noncontrolling interests $ 1,221 $ 1,123
Adjustments to reconcile net income before noncontrolling interests to net cash provided by operating activities:    
Depreciation and amortization expense 241 [1],[2] 231 [1],[2]
Share-based compensation expense 26 31
Asset write-offs and asset impairments 13 2
Gain on sale of business, excluding transaction costs (118) 0
Provision for losses on inventory 47 31
Deferred taxes (26) (76)
Employee benefit plan contribution from Pfizer Inc. 0 1
Other non-cash adjustments (6) 13
Other changes in assets and liabilities, net of acquisitions and divestitures:    
Accounts receivable (116) (182)
Inventories (424) (312)
Other assets (82) (34)
Accounts payable 65 (6)
Other liabilities (59) (206)
Other tax accounts, net (50) 29
Net cash provided by operating activities 732 645
Investing Activities    
Capital expenditures (389) (261)
Acquisitions (7) (93)
Purchase of investments (2) (7)
Proceeds on derivative instrument activity, net 3 40
Net cash proceeds 93 0
Net proceeds from sale of assets 3 0
Payments for (Proceeds from) Other Investing Activities 3 0
Net cash used in investing activities (296) (321)
Financing Activities    
Increase in short-term borrowings, net 0 2
Principal payments on long-term debt (1,350) 0
Share-based compensation-related proceeds, net of taxes paid on withholding shares 8 (38)
Purchases of treasury stock (607) (812)
Cash dividends paid (347) (307)
Net cash used in financing activities (2,296) (1,155)
Effect of exchange-rate changes on cash and cash equivalents (4) (2)
Net decrease in cash and cash equivalents (1,864) (833)
Cash and cash equivalents at beginning of period 3,581 3,485
Cash and cash equivalents at end of period 1,717 2,652
Cash paid during the period for:    
Income taxes 458 316
Interest, net of capitalized interest 158 121
Amounts included in the measurement of lease liabilities 28 25
Non-cash transactions:    
Capital expenditures 3 5
Excise tax accrued on net share repurchases, not paid 5 0
Lease obligations obtained in exchange for right-of-use assets 33 $ 41
Dividends declared, not paid $ 173  
[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.