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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Operating Activities      
Net income including noncontrolling interests $ 2,338 $ 2,860 $ 2,527
Adjustments to reconcile net income including noncontrolling interests to net cash provided by operations:      
Depreciation and amortization 556 539 519
Restructuring and termination benefits, net of cash (21) (71) 18
Stock-based compensation expense 135 107 100
Goodwill and indefinite-lived intangible impairment charges 571 0 0
Loss on early extinguishment of debt 75 23 0
Deferred income taxes (132) (120) 17
Voluntary benefit plan contributions 0 0 (113)
Cash effects of changes in:      
Receivables (84) 138 19
Inventories (72) (251) (77)
Accounts payable and other accruals 14 520 36
Other non-current assets and liabilities (55) (26) 87
Net cash provided by operations 3,325 3,719 3,133
Investing Activities      
Capital expenditures (567) (410) (335)
Purchases of marketable securities and investments (141) (143) (184)
Proceeds from sale of marketable securities and investments 141 124 131
Payment for acquisitions, net of cash acquired 0 (353) (1,711)
Other investing activities (25) 3 0
Net cash used in investing activities (592) (779) (2,099)
Financing Activities      
Short-term borrowing (repayment) less than 90 days, net (171) 488 296
Principal payments on debt [1] (703) (1,085) (1,441)
Proceeds from issuance of debt 699 0 2,578
Dividends paid (1,679) (1,654) (1,614)
Purchases of treasury shares (1,320) (1,476) (1,202)
Proceeds from exercise of stock options 424 874 498
Purchases of non-controlling interests in subsidiaries 0 (99) 0
Other financing activities (24) 33 15
Net cash used in financing activities (2,774) (2,919) (870)
Effect of exchange rate changes on Cash and cash equivalents (15) (16) (7)
Net (decrease) increase in Cash and cash equivalents (56) 5 157
Cash and cash equivalents at beginning of year 888 883 726
Cash and cash equivalents at end of year 832 888 883
Supplemental Cash Flow Information      
Income taxes paid 890 845 803
Interest paid $ 194 $ 188 $ 185
[1] (1) For the years ended December 31, 2021 and 2020, Principal payments on debt includes cash charges of $75 and $20, respectively, related to the extinguishment of debt prior to maturity. See Note 6, Long-Term Debt and Credit Facilities for additional information.