v3.20.4
Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Cash flows from operating activities      
Net earnings $ 4,622 $ 7,882 $ 5,687
Adjustments to reconcile net earnings to net cash from operating activities:      
Depreciation 666 464 471
Amortization of intangible assets 5,805 1,553 1,294
Deferred income taxes (2,325) 122 (1,517)
Change in fair value of contingent consideration liabilities 5,753 3,091 49
Stock-based compensation 753 430 421
Upfront costs and milestones related to collaborations 1,376 490 1,061
Gain on divestitures 0 (330) 0
Intangible asset impairment 0 1,030 5,070
Impacts related to U.S. tax reform 0 0 424
Other, net 832 43 76
Changes in operating assets and liabilities, net of acquisitions:      
Accounts receivable (929) (74) (591)
Inventories (40) (231) (226)
Prepaid expenses and other assets 134 (225) (200)
Accounts payable and other liabilities 1,514 97 734
Income tax assets and liabilities, net (573) (1,018) 674
Cash flows from operating activities 17,588 13,324 13,427
Cash flows from investing activities      
Acquisition of businesses, net of cash acquired (38,260) 0 0
Other acquisitions and investments (1,350) (1,135) (736)
Acquisitions of property and equipment (798) (552) (638)
Purchases of investment securities (61) (583) (1,792)
Sales and maturities of investment securities 1,525 2,699 2,160
Other, net 1,387 167 0
Cash flows from investing activities (37,557) 596 (1,006)
Cash flows from financing activities      
Net change in commercial paper borrowings 0 (699) 299
Proceeds from issuance of other short-term borrowings 0 0 3,002
Repayments of other short-term borrowings 0 (3,000) 0
Proceeds from issuance of long-term debt 3,000 31,482 5,963
Repayments of long-term debt and finance lease obligations (5,683) (1,536) (6,035)
Debt issuance costs (20) (424) (40)
Dividends paid (7,716) (6,366) (5,580)
Purchases of treasury stock (978) (629) (12,014)
Proceeds from the exercise of stock options 209 8 73
Payments of contingent consideration liabilities (321) (163) (78)
Other, net 8 35 14
Cash flows from financing activities (11,501) 18,708 (14,396)
Effect of exchange rate changes on cash and equivalents (5) 7 (39)
Net change in cash and equivalents (31,475) 32,635 (2,014)
Cash and equivalents, beginning of year 39,924 7,289 9,303
Cash and equivalents, end of year 8,449 39,924 7,289
Other supplemental information      
Interest paid, net of portion capitalized 2,619 1,794 1,215
Income taxes paid 1,674 1,447  
Income taxes received     35
Supplemental schedule of non-cash investing and financing activities      
Issuance of common shares associated with acquisitions of businesses $ 23,979 $ 0 $ 0