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Income Taxes (Narrative) (Details)
$ / shares in Units, $ in Millions, kr in Billions
3 Months Ended 12 Months Ended
Dec. 31, 2022
USD ($)
Apr. 02, 2021
USD ($)
Apr. 02, 2021
DKK (kr)
Dec. 31, 2023
USD ($)
$ / shares
Dec. 31, 2022
USD ($)
$ / shares
Dec. 31, 2021
USD ($)
$ / shares
Dec. 31, 2020
USD ($)
Net deferred tax liabilities $ 2,958     $ 2,192 $ 2,958    
Valuation allowance, deferred tax asset, change in amount       2      
Basis differences in investments outside the U.S.       $ 14,500      
Statutory federal income tax rate       21.00% 21.00% 21.00%  
Effective income tax rate       16.30% 11.40% 16.30%  
Effective income tax rate reconciliation, other reconciling items, percent       0.90% 7.00% 3.00%  
Income tax payments       $ 1,800 $ 1,800 $ 1,700  
Employee service share-based compensation, tax benefit from exercise of stock options       80 85 118  
Tax benefit       51 61 95  
Net operating loss carryforwards       284      
Operating loss carryforwards, valuation allowances       154      
Deferred tax assets, valuation allowances 236     234 236    
Gross unrecognized tax benefits 1,139     1,214 1,139 1,095 $ 1,175
Unrecognized tax benefits, net of offsetting indirect tax benefits 1,200     1,300 1,200    
Unrecognized tax benefits, indirect tax benefits 65     73 65    
Potential interest and penalties 171     199 171    
Recognized potential interest and penalties       32 14 $ (182)  
Unrecognized tax benefits that would impact effective tax rate 1,200     1,300 $ 1,200    
Estimated reduction in unrecognized tax benefits within twelve months       $ 352      
Income tax holiday, income tax benefits per diluted common share | $ / shares       $ 0.11 $ 0.10 $ 0.08  
General business and foreign tax credit              
Tax credit carryforwards       $ 273      
Tax credit carryforward, valuation allowance       75      
Deferred tax asset, other              
Deferred tax assets, valuation allowances       5      
Domestic tax authority | IRS              
Proposed adjustments to taxable income, self-insurance, other 2,500            
Foreign tax authority              
Income tax examination, amount of tax assessments 2010-2015   $ 307 kr 2.1        
Income tax holiday, aggregate dollar amount       83 $ 71 $ 59  
United States              
Net deferred tax liabilities 1,900     832 1,900    
Non-U.S.              
Net deferred tax liabilities 1,100     1,400 1,100    
Discontinued operations              
Discontinued operation, deferred tax assets 240       240    
Discontinued operations, deferred tax liabilities 298       298    
Discontinued operations | Discontinued operations              
Net deferred tax liabilities 58       58    
Unrecognized tax benefits, net of offsetting indirect tax benefits 76       76    
Recognized potential interest and penalties       $ 6 2 $ (9)  
Unrecognized tax benefits that would impact effective tax rate 76       76    
Discontinued operations | Discontinued operations | United States              
Net deferred tax liabilities 66       66    
Discontinued operations | Discontinued operations | Non-U.S.              
Deferred tax assets, net $ 8       $ 8