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Consolidated Statement of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Cash Flow From (Used in) Operating Activities:      
Net earnings $ 3,687 $ 2,368 $ 477
Adjustments to reconcile net earnings to net cash from operating activities -      
Depreciation 1,078 1,100 1,046
Amortization of intangible assets 1,936 2,178 1,975
Share-based compensation 519 477 406
Amortization of inventory step-up   32 907
Investing and financing losses, net 184 126 47
Loss on extinguishment of debt 63 167  
Amortization of bridge financing fees     5
Gains on sale of businesses     (1,163)
Gain on sale of Mylan N.V. shares     (45)
Trade receivables (275) (190) (207)
Inventories (593) (514) 249
Prepaid expenses and other assets (138) 23 109
Trade accounts payable and other liabilities 220 747 615
Income taxes (545) (214) 1,149
Net Cash From Operating Activities 6,136 6,300 5,570
Cash Flow From (Used in) Investing Activities:      
Acquisitions of property and equipment (1,638) (1,394) (1,135)
Acquisitions of businesses and technologies, net of cash acquired (170) (54) (17,183)
Proceeds from business dispositions 48 48 6,042
Proceeds from the sale of Mylan N.V. shares     2,704
Purchases of investment securities (103) (131) (210)
Proceeds from sales of investment securities 21 73 129
Other 27 102 35
Net Cash From (Used in) Investing Activities (1,815) (1,356) (9,618)
Cash Flow From (Used in) Financing Activities:      
Proceeds from issuance of (repayments of) short-term debt and other   (26) (1,034)
Proceeds from issuance of long-term debt and debt with maturities over 3 months 1,842 4,009 6,742
Repayments of long-term debt and debt with maturities over 3 months (3,441) (12,433) (8,650)
Purchase of Alere preferred stock     (710)
Acquisition and contingent consideration payments related to business acquisitions     (13)
Purchases of common shares (718) (238) (117)
Proceeds from stock options exercised 298 271 350
Dividends paid (2,270) (1,974) (1,849)
Net Cash From (Used in) Financing Activities (4,289) (10,391) (5,281)
Effect of exchange rate changes on cash and cash equivalents (16) (116) 116
Net (Decrease) Increase in Cash and Cash Equivalents 16 (5,563) (9,213)
Cash and Cash Equivalents, Beginning of Year 3,844 9,407 18,620
Cash and Cash Equivalents, End of Year 3,860 3,844 9,407
Supplemental Cash Flow Information:      
Income taxes paid 930 740 570
Interest paid $ 677 $ 845 $ 917