v3.20.4
Income Taxes (Tables)
12 Months Ended
Dec. 31, 2020
Income Tax Disclosure [Abstract]  
Schedule of earnings before income tax expense
Earnings Before Income Tax Expense
years ended December 31 (in millions)202020192018
Domestic$(4,467)$(2,784)$(4,274)
Foreign7,865 11,210 9,471 
Total earnings before income tax expense$3,398 $8,426 $5,197 
Schedule of income tax expense
Income Tax Expense
years ended December 31 (in millions)202020192018
Current
Domestic$907 $102 $593 
Foreign194 320 434 
Total current taxes$1,101 $422 $1,027 
Deferred
Domestic$(58)$(137)$(1,497)
Foreign(2,267)259 (20)
Total deferred taxes$(2,325)$122 $(1,517)
Total income tax expense (benefit)$(1,224)$544 $(490)
Summary of effective tax rate reconciliation
Effective Tax Rate Reconciliation
years ended December 31202020192018
Statutory tax rate21.0 %21.0 %21.0 %
Effect of foreign operations2.4 (8.4)(28.7)
U.S. tax credits(10.6)(3.3)(7.3)
Impacts related to U.S. tax reform(1.1)(1.6)8.2 
Non-deductible expenses7.2 1.0 1.2 
Tax law changes and related restructuring(48.5)3.1 — 
Stock-based compensation excess tax benefit(0.9)(0.2)(1.5)
Tax audit settlements(5.1)(4.7)(2.5)
All other, net(0.4)(0.4)0.2 
Effective tax rate(36.0)%6.5 %(9.4)%
Schedule of deferred tax assets and liabilities
Deferred Tax Assets and Liabilities
as of December 31 (in millions)20202019
Deferred tax assets
Compensation and employee benefits$1,109 $810 
Accruals and reserves438 371 
Chargebacks and rebates555 477 
Advance payments324 615 
Net operating losses and other credit carryforwards2,765 838 
Other1,371 406 
Total deferred tax assets6,562 3,517 
Valuation allowances(1,203)(731)
Total net deferred tax assets5,359 2,786 
Deferred tax liabilities
Excess of book basis over tax basis of intangible assets(5,274)(2,712)
Excess of book basis over tax basis in investments(335)(249)
Other(982)(440)
Total deferred tax liabilities(6,591)(3,401)
Net deferred tax liabilities$(1,232)$(615)
Schedule of unrecognized tax benefits
Unrecognized Tax Benefits
years ended December 31 (in millions)202020192018
Beginning balance$2,661 $2,852 $2,701 
Increase due to acquisition2,674 — — 
Increase due to current year tax positions91 113 163 
Increase due to prior year tax positions59 499 110 
Decrease due to prior year tax positions(7)(21)(36)
Settlements(141)(749)(79)
Lapse of statutes of limitations(73)(33)(7)
Ending balance$5,264 $2,661 $2,852