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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Operating Activities      
Net income before allocation to noncontrolling interests $ 31,407 $ 22,025 $ 9,195
Discontinued operations––net of tax 6 (434) 2,529
Net income from continuing operations before allocation to noncontrolling interests 31,401 22,459 6,666
Adjustments to reconcile net income before allocation to noncontrolling interests to net cash provided by operating activities:      
Depreciation and amortization 5,064 5,191 4,681
Asset write-offs and impairments 550 276 2,049
Deferred taxes from continuing operations (3,764) (4,293) (1,575)
Share-based compensation expense 872 1,182 755
Benefit plan contributions in excess of expense/income (1,158) (3,123) (1,242)
Other adjustments, net 758 (1,573) (485)
Other changes in assets and liabilities, net of acquisitions and divestitures:      
Trade accounts receivable 261 (3,811) (1,275)
Inventories 592 (1,125) (778)
Other assets [1] (4,506) (1,057) (137)
Trade accounts payable 1,191 1,242 355
Other liabilities (1,449) 18,721 2,768
Other tax accounts, net (545) (1,166) (1,240)
Net cash provided by operating activities from continuing operations 29,267 32,922 10,540
Net cash provided by/(used in) operating activities from discontinued operations 0 (343) 3,863
Net cash provided by operating activities 29,267 32,580 14,403
Investing Activities      
Purchases of property, plant and equipment (3,236) (2,711) (2,226)
Purchases of short-term investments (36,384) (38,457) (13,805)
Proceeds from redemptions/sales of short-term investments 44,821 27,447 11,087
Net (purchases of)/proceeds from redemptions/sales of short-term investments with original maturities of three months or less (483) (8,088) 920
Purchases of long-term investments (1,913) (1,068) (597)
Proceeds from redemptions/sales of long-term investments 641 649 723
Acquisitions of businesses, net of cash acquired (22,997) 0 0
Dividend received from the Consumer Healthcare JV [2] 3,960 0 0
Other investing activities, net (192) (305) (265)
Net cash provided by/(used in) investing activities from continuing operations (15,783) (22,534) (4,162)
Net cash provided by/(used in) investing activities from discontinued operations 0 (12) (109)
Net cash provided by/(used in) investing activities (15,783) (22,546) (4,271)
Financing Activities      
Proceeds from short-term borrowings 3,891 0 12,352
Payments on short-term borrowings (3,887) 0 (22,197)
Net (payments on)/proceeds from short-term borrowings with original maturities of three months or less (222) (96) (4,129)
Proceeds from issuances of long-term debt 0 997 5,222
Payments on long-term debt (3,298) (2,004) (4,003)
Purchases of common stock (2,000) 0 0
Cash dividends paid (8,983) (8,729) (8,440)
Other financing activities, net (335) 16 (444)
Net cash provided by/(used in) financing activities from continuing operations (14,834) (9,816) (21,640)
Net cash provided by/(used in) financing activities from discontinued operations 0 0 11,991
Net cash provided by/(used in) financing activities (14,834) (9,816) (9,649)
Effect of exchange-rate changes on cash and cash equivalents and restricted cash and cash equivalents (165) (59) (8)
Net increase/(decrease) in cash and cash equivalents and restricted cash and cash equivalents (1,515) 159 475
Cash and cash equivalents and restricted cash and cash equivalents, at beginning of period 1,983 1,825 1,350
Cash and cash equivalents and restricted cash and cash equivalents, at end of period 468 1,983 1,825
Cash paid/(received) during the period for:      
Income taxes 7,867 7,427 3,153
Interest paid 1,442 1,467 1,641
Interest rate hedges 54 (2) (20)
Non-cash transaction:      
Right-of-use assets obtained in exchange for lease liabilities $ 752 $ 1,943 $ 410
[1] See Note 8A.
[2] See Note 2C.