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Condensed Consolidated Statements of Cash Flows (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Operating Activities    
Net income $ 4,332us-gaap_ProfitLoss $ 2,223us-gaap_ProfitLoss
Adjustments to Reconcile Net Income to Net Cash Provided by Operating Activities    
Depreciation expense 37us-gaap_Depreciation 24us-gaap_Depreciation
Amortization expense 232us-gaap_AdjustmentForAmortization 217us-gaap_AdjustmentForAmortization
Stock-based compensation expense 92us-gaap_ShareBasedCompensation 82us-gaap_ShareBasedCompensation
Excess tax benefits from stock-based compensation (186)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (157)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Tax benefits from exercise and vesting of stock-based awards 186gild_Taxbenefitsfromexerciseandvestingofstockbasedawards 158gild_Taxbenefitsfromexerciseandvestingofstockbasedawards
Deferred income taxes (121)us-gaap_IncreaseDecreaseInDeferredIncomeTaxes (3)us-gaap_IncreaseDecreaseInDeferredIncomeTaxes
Change in fair value of contingent consideration 2us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1 3us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
Other (5)us-gaap_OtherNoncashIncomeExpense 3us-gaap_OtherNoncashIncomeExpense
Changes in operating assets and liabilities:    
Accounts receivable, net (348)us-gaap_IncreaseDecreaseInAccountsReceivable (1,118)us-gaap_IncreaseDecreaseInAccountsReceivable
Inventories (370)us-gaap_IncreaseDecreaseInInventories (85)us-gaap_IncreaseDecreaseInInventories
Prepaid expenses and other assets 52us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets (169)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Accounts payable 58us-gaap_IncreaseDecreaseInAccountsPayable (20)us-gaap_IncreaseDecreaseInAccountsPayable
Income taxes payable 149us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable 241us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable
Accrued liabilities 1,530us-gaap_IncreaseDecreaseInAccruedLiabilities 166us-gaap_IncreaseDecreaseInAccruedLiabilities
Deferred revenues 61us-gaap_IncreaseDecreaseInDeferredRevenue 3us-gaap_IncreaseDecreaseInDeferredRevenue
Net cash provided by operating activities 5,701us-gaap_NetCashProvidedByUsedInOperatingActivities 1,568us-gaap_NetCashProvidedByUsedInOperatingActivities
Investing Activities:    
Purchases of marketable securities (2,462)us-gaap_PaymentsToAcquireAvailableForSaleSecurities (94)us-gaap_PaymentsToAcquireAvailableForSaleSecurities
Proceeds from sales of marketable securities 249us-gaap_ProceedsFromSaleOfAvailableForSaleSecurities 83us-gaap_ProceedsFromSaleOfAvailableForSaleSecurities
Proceeds from maturities of marketable securities 38us-gaap_ProceedsFromMaturitiesPrepaymentsAndCallsOfAvailableForSaleSecurities 14us-gaap_ProceedsFromMaturitiesPrepaymentsAndCallsOfAvailableForSaleSecurities
Capital expenditures (124)us-gaap_PaymentsToAcquireProductiveAssets (164)us-gaap_PaymentsToAcquireProductiveAssets
Net cash used in investing activities (2,299)us-gaap_NetCashProvidedByUsedInInvestingActivities (161)us-gaap_NetCashProvidedByUsedInInvestingActivities
Financing Activities:    
Proceeds from debt financing, net of issuance costs 0us-gaap_ProceedsFromDebtNetOfIssuanceCosts 3,968us-gaap_ProceedsFromDebtNetOfIssuanceCosts
Proceeds from convertible note hedges 154us-gaap_ProceedsFromHedgeFinancingActivities 601us-gaap_ProceedsFromHedgeFinancingActivities
Purchases of convertible note hedges 0gild_PurchasesOfConvertibleNoteHedges (26)gild_PurchasesOfConvertibleNoteHedges
Proceeds from issuances of common stock 118us-gaap_ProceedsFromIssuanceOfCommonStock 109us-gaap_ProceedsFromIssuanceOfCommonStock
Repurchases of common stock (3,001)us-gaap_PaymentsForRepurchaseOfCommonStock (450)us-gaap_PaymentsForRepurchaseOfCommonStock
Repayments of debt and other long-term obligations (199)us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations (1,419)us-gaap_RepaymentsOfDebtAndCapitalLeaseObligations
Excess tax benefits from stock-based compensation 186us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 157us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Contributions from (distributions to) noncontrolling interest 20us-gaap_ProceedsFromPaymentsToMinorityShareholders (56)us-gaap_ProceedsFromPaymentsToMinorityShareholders
Net cash provided by (used in) financing activities (2,722)us-gaap_NetCashProvidedByUsedInFinancingActivities 2,884us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash and cash equivalents (72)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents 0us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net change in cash and cash equivalents 608us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 4,291us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of period 10,027us-gaap_CashAndCashEquivalentsAtCarryingValue 2,113us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of period $ 10,635us-gaap_CashAndCashEquivalentsAtCarryingValue $ 6,404us-gaap_CashAndCashEquivalentsAtCarryingValue