Consolidated Statements of Cash Flows - USD ($) $ in Millions |
12 Months Ended | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Dec. 31, 2018 |
Dec. 31, 2017 |
Dec. 31, 2016 |
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| Operating Activities | ||||||||||||||||||||
| Net income before allocation to noncontrolling interests | [1],[2],[3],[4] | $ 11,188 | $ 21,355 | $ 7,246 | ||||||||||||||||
| Adjustments to reconcile net income before allocation to noncontrolling interests to net cash provided by operating activities: | ||||||||||||||||||||
| Depreciation and amortization | [1] | 6,384 | 6,269 | 5,757 | ||||||||||||||||
| Asset write-offs and impairments | [1] | 3,398 | 634 | 1,613 | ||||||||||||||||
| Loss on sale of HIS net assets | [1],[5] | (1) | 55 | 1,712 | ||||||||||||||||
| TCJA impact | [1],[6] | (596) | (10,660) | 0 | ||||||||||||||||
| Deferred taxes from continuing operations | [1] | (2,205) | (2,410) | (700) | ||||||||||||||||
| Share-based compensation expense | [1] | 949 | 840 | 691 | ||||||||||||||||
| Benefit plan contributions in excess of expense | [1] | (1,095) | (961) | (712) | ||||||||||||||||
| Other adjustments, net | [1] | (1,268) | 344 | 487 | ||||||||||||||||
| Other changes in assets and liabilities, net of acquisitions and divestitures: | ||||||||||||||||||||
| Trade accounts receivable | [1] | (644) | 259 | (134) | ||||||||||||||||
| Inventories | [1] | (717) | (357) | 365 | ||||||||||||||||
| Other assets | [1] | (16) | 7 | (47) | ||||||||||||||||
| Trade accounts payable | [1] | 431 | 46 | 871 | ||||||||||||||||
| Other liabilities | [1] | 98 | (67) | (223) | ||||||||||||||||
| Other tax accounts, net | [1] | (78) | 1,446 | (734) | ||||||||||||||||
| Net cash provided by operating activities | [1] | 15,827 | 16,802 | 16,192 | ||||||||||||||||
| Investing Activities | ||||||||||||||||||||
| Purchases of property, plant and equipment | [1] | (2,042) | (1,956) | (1,823) | ||||||||||||||||
| Purchases of short-term investments | [1] | (11,677) | (14,596) | (15,957) | ||||||||||||||||
| Proceeds from redemptions/sales of short-term investments | [1] | 17,581 | 10,302 | 29,414 | ||||||||||||||||
| Net (purchases of)/proceeds from redemptions/sales of short-term investments with original maturities of three months or less | [1] | (3,917) | 2,058 | (4,218) | ||||||||||||||||
| Purchases of long-term investments | [1] | (1,797) | (3,537) | (8,011) | ||||||||||||||||
| Proceeds from redemptions/sales of long-term investments | [1] | 6,244 | 3,579 | 11,268 | ||||||||||||||||
| Acquisitions of businesses, net of cash acquired | [1] | 0 | (1,000) | (18,368) | ||||||||||||||||
| Acquisitions of intangible assets | [1] | (154) | (261) | (176) | ||||||||||||||||
| Other investing activities, net | [1],[7] | 288 | 671 | 80 | ||||||||||||||||
| Net cash provided by/(used in) investing activities | [1] | 4,525 | (4,740) | (7,791) | ||||||||||||||||
| Financing Activities | ||||||||||||||||||||
| Proceeds from short-term borrowings | [1] | 3,711 | 8,464 | 7,472 | ||||||||||||||||
| Principal payments on short-term borrowings | [1] | (4,437) | (9,947) | (5,093) | ||||||||||||||||
| Net (payments on)/proceeds from short-term borrowings with original maturities of three months or less | [1] | (1,617) | 1,422 | (3,060) | ||||||||||||||||
| Proceeds from issuance of long-term debt | [1] | 4,974 | 5,274 | 10,976 | ||||||||||||||||
| Principal payments on long-term debt | [1] | (3,566) | (6,154) | (7,689) | ||||||||||||||||
| Purchases of common stock | [1] | (12,198) | (5,000) | (5,000) | ||||||||||||||||
| Cash dividends paid | [1] | (7,978) | (7,659) | (7,317) | ||||||||||||||||
| Proceeds from exercise of stock options | [1] | 1,259 | 862 | 1,019 | ||||||||||||||||
| Other financing activities, net | [1] | (588) | (611) | (536) | ||||||||||||||||
| Net cash used in financing activities | [1] | (20,441) | (13,350) | (9,228) | ||||||||||||||||
| Effect of exchange-rate changes on cash and cash equivalents and restricted cash and cash equivalents | [1] | (116) | 53 | (215) | ||||||||||||||||
| Net decrease in cash and cash equivalents and restricted cash and cash equivalents | [1] | (205) | (1,235) | (1,041) | ||||||||||||||||
| Cash and cash equivalents and restricted cash and cash equivalents, beginning | [1] | 1,431 | 2,666 | 3,707 | ||||||||||||||||
| Cash and cash equivalents and restricted cash and cash equivalents, end | [1] | 1,225 | 1,431 | 2,666 | ||||||||||||||||
| Supplemental Cash Flow Information | ||||||||||||||||||||
| Exchange of $1.1 billion net book value 6.50% U.K. pound denominated bonds maturing in 2038 for $1.8 billion of new 2.735% U.K. pound denominated bonds maturing in 2043, resulting in a debt extinguishment loss of $747 million | [1],[8] | 0 | 1,848 | 0 | ||||||||||||||||
| Receipt of ICU Medical common stock | [1],[7] | 0 | 428 | 0 | ||||||||||||||||
| Promissory note from ICU Medical | [1],[7] | 0 | 75 | 0 | ||||||||||||||||
| Cash paid (received) during the period for: | ||||||||||||||||||||
| Income taxes | [1] | 3,655 | 2,489 | 2,521 | ||||||||||||||||
| Interest | [1] | 1,311 | 1,518 | 1,451 | ||||||||||||||||
| Interest rate hedges | [1] | (38) | (199) | (338) | ||||||||||||||||
| Cerevel Therapeutics [Member] | ||||||||||||||||||||
| Supplemental Cash Flow Information | ||||||||||||||||||||
| Equity investment in exchange for Pfizer's assets | [1],[7] | 343 | 0 | 0 | ||||||||||||||||
| Allogene [Member] | ||||||||||||||||||||
| Supplemental Cash Flow Information | ||||||||||||||||||||
| Equity investment in exchange for Pfizer's assets | [1],[7] | $ 92 | $ 0 | $ 0 | ||||||||||||||||
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- Definition Asset Write-Offs And Asset Impairment Charges No definition available.
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- Definition The aggregate expense recognized in the current period that allocates the cost of tangible assets, intangible assets, or depleting assets to periods that benefit from use of the assets. Includes the amount of expense from discontinued operations, that reflects the allocation of the cost of tangible and intangible assets over the assets' useful lives. No definition available.
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- Definition Interest Paid, Interest Rate Hedges No definition available.
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- Definition Noncash or Part Noncash Divestiture, Amount of Consideration Received, Common Stock No definition available.
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- Definition Noncash or Part Noncash Divestiture, Amount of Consideration Received, Note Receivable No definition available.
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- Definition Noncash or Part Noncash Divestiture, Contribution Agreement, Equity Investment No definition available.
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- Definition The amount of cash or cash equivalents contributed during the reporting period by the entity to fund its pension plans and its non-pension postretirement benefit plans less the amount of pension and other postretirement benefit costs recognized during the period for defined benefit plans (periodic benefit costs include the following components: service cost, interest cost, expected return on plan assets, gain or loss on assets, prior service cost or credit, transition asset or obligation, and gain or loss due to settlements or curtailments). No definition available.
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- Definition Tax Cuts and Jobs Act of 2017, Change In Tax Rate, Provisional Income Tax Expense (Benefit) No definition available.
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- References No definition available.
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- References No definition available.
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- Definition Amount of cash and cash equivalents, and cash and cash equivalents restricted to withdrawal or usage. Excludes amount for disposal group and discontinued operations. Cash includes, but is not limited to, currency on hand, demand deposits with banks or financial institutions, and other accounts with general characteristics of demand deposits. Cash equivalents include, but are not limited to, short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of increase (decrease) in cash, cash equivalents, and cash and cash equivalents restricted to withdrawal or usage; including effect from exchange rate change. Cash includes, but is not limited to, currency on hand, demand deposits with banks or financial institutions, and other accounts with general characteristics of demand deposits. Cash equivalents include, but are not limited to, short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The value of the financial instrument(s) that the original debt is being converted into in a noncash (or part noncash) transaction. "Part noncash" refers to that portion of the transaction not resulting in cash receipts or cash payments in the period. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of deferred income tax expense (benefit) pertaining to income (loss) from continuing operations. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount before tax of gain (loss) recognized on the sale or disposal of a disposal group. Excludes discontinued operations. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition Amount of increase (decrease) from effect of exchange rate changes on cash and cash equivalents, and cash and cash equivalents restricted to withdrawal or usage; held in foreign currencies. Excludes amounts for disposal group and discontinued operations. Cash includes, but is not limited to, currency on hand, demand deposits with banks or financial institutions, and other accounts with general characteristics of demand deposits. Cash equivalents include, but are not limited to, short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition The amount of cash paid during the current period to foreign, federal, state, and local authorities as taxes on income, net of any cash received during the current period as refunds for the overpayment of taxes. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Change in recurring obligations of a business that arise from the acquisition of merchandise, materials, supplies and services used in the production and sale of goods and services. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The increase (decrease) during the reporting period in amount due within one year (or one business cycle) from customers for the credit sale of goods and services. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The increase (decrease) during the reporting period of all taxes owed but not paid, including income, property and other taxes. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition The increase (decrease) during the reporting period in the aggregate value of all inventory held by the reporting entity, associated with underlying transactions that are classified as operating activities. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- References No definition available.
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- Definition Amount of increase (decrease) in operating assets classified as other. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of increase (decrease) in operating liabilities classified as other. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of cash paid for interest, excluding capitalized interest, classified as operating activity. Includes, but is not limited to, payment to settle zero-coupon bond for accreted interest of debt discount and debt instrument with insignificant coupon interest rate in relation to effective interest rate of borrowing attributable to accreted interest of debt discount. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Amount of cash inflow (outflow) from financing activities, including discontinued operations. Financing activity cash flows include obtaining resources from owners and providing them with a return on, and a return of, their investment; borrowing money and repaying amounts borrowed, or settling the obligation; and obtaining and paying for other resources obtained from creditors on long-term credit. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- References No definition available.
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- Definition Amount of cash inflow (outflow) from investing activities, including discontinued operations. Investing activity cash flows include making and collecting loans and acquiring and disposing of debt or equity instruments and property, plant, and equipment and other productive assets. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- References No definition available.
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- Definition Amount of cash inflow (outflow) from operating activities, including discontinued operations. Operating activity cash flows include transactions, adjustments, and changes in value not defined as investing or financing activities. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- References No definition available.
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- Definition Amount of income (expense) included in net income that results in no cash inflow (outflow), classified as other. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of cash (inflow) outflow from investing activities classified as other. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition The net amount paid (received) by the reporting entity through acquisition or sale and maturities of short-term investments with an original maturity that is three months or less which qualify for treatment as an investing activity based on management's intention and intended by management to be liquidated, if necessary, within the current operating cycle. Includes cash flows from securities classified as trading securities that were acquired for reasons other than sale in the short-term. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition The cash outflow to reacquire common stock during the period. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Cash outflow in the form of ordinary dividends to common shareholders, preferred shareholders and noncontrolling interests, generally out of earnings. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The cash outflow to acquire asset without physical form usually arising from contractual or other legal rights, excluding goodwill. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of cash outflow for purchase of marketable security. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The cash outflow for securities or other assets acquired, which qualify for treatment as an investing activity and are to be liquidated, if necessary, within the current operating cycle. Includes cash flows from securities classified as trading securities that were acquired for reasons other than sale in the short-term. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The cash inflow from a debt initially having maturity due after one year or beyond the operating cycle, if longer. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of cash inflow (outflow) from financing activities classified as other. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition The cash inflow from a borrowing net of the cash outflow from repayment of a borrowing having initial term of repayment within three months. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition The cash inflow from sales, maturities, prepayments, calls and collections of all investments, including securities and other assets, having ready marketability and intended by management to be liquidated, if necessary, beyond the current operating cycle. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition The cash inflow from sales, maturities, prepayments, calls and collections of all investments, including securities and other assets, having ready marketability and intended by management to be liquidated, if necessary, within the current operating cycle. Includes cash flows from securities classified as trading securities that were acquired for reasons other than sale in the short-term. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The cash inflow from a borrowing having initial term of repayment within one year or the normal operating cycle, if longer. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of cash inflow from exercise of stock options granted under share-based compensation arrangement. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition The cash outflow for debt initially having maturity due after one year or beyond the normal operating cycle, if longer. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The cash outflow for a borrowing having initial term of repayment within one year or the normal operating cycle, if longer. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- References No definition available.
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