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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
9 Months Ended
Sep. 27, 2020
Sep. 29, 2019
CASH FLOWS FROM OPERATING ACTIVITIES    
Net earnings $ 12,976 $ 11,109
Adjustments to reconcile net earnings to cash flows from operating activities:    
Depreciation and amortization of property and intangibles 5,291 5,193
Stock based compensation 845 817
Asset write-downs 198 1,019
Contingent consideration reversal (1,148) 0
Net gain on sale of assets/businesses (60) (2,125)
Deferred tax provision (238) (2,126)
Credit losses and accounts receivable allowances 74 (15)
Changes in assets and liabilities, net of effects from acquisitions and divestitures:    
Increase in accounts receivable (440) (665)
Increase in inventories (784) (424)
(Decrease)/Increase in accounts payable and accrued liabilities (119) 2,273
Increase in other current and non-current assets (1,983) (81)
Increase in other current and non-current liabilities 581 2,043
NET CASH FLOWS FROM OPERATING ACTIVITIES 15,193 17,018
CASH FLOWS FROM INVESTING ACTIVITIES    
Additions to property, plant and equipment (2,024) (2,238)
Proceeds from the disposal of assets/businesses, net 100 3,103
Acquisitions, net of cash acquired (949) (5,562)
Purchases of investments (16,243) (2,684)
Sales of investments 6,585 2,459
Proceeds from credit support agreements, net 125 0
Other (primarily licenses and milestones) (516) 72
NET CASH USED BY INVESTING ACTIVITIES (12,922) (4,850)
CASH FLOWS FROM FINANCING ACTIVITIES    
Dividends to shareholders (7,823) (7,417)
Repurchase of common stock (2,900) (6,320)
Proceeds from short-term debt 3,335 148
Repayment of short-term debt (310) (87)
Proceeds from long-term debt, net of issuance costs 7,431 1
Repayment of long-term debt (562) (1,008)
Proceeds from the exercise of stock options/employee withholding tax on stock awards, net 922 580
Other (569) 160
NET CASH USED BY FINANCING ACTIVITIES (476) (13,943)
Effect of exchange rate changes on cash and cash equivalents (135) (83)
Increase/(Decrease) in cash and cash equivalents 1,660 (1,858)
Cash and Cash equivalents, beginning of period 17,305 18,107
Cash and Cash equivalents, end of period 18,965 16,249
Acquisitions    
Fair value of assets acquired 1,173 6,861
Fair value of liabilities assumed and noncontrolling interests (224) (1,299)
Net cash paid for acquisitions 949 $ 5,562
Auris Health    
Adjustments to reconcile net earnings to cash flows from operating activities:    
Contingent consideration reversal $ (1,148)