v3.21.1
Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Statement of Cash Flows [Abstract]    
Net earnings $ 3,555 $ 3,010
Adjustments to reconcile net earnings to net cash from operating activities:    
Depreciation 206 115
Amortization of intangible assets 2,009 444
Deferred income taxes (28) (181)
Change in fair value of contingent consideration liabilities (343) 72
Stock-based compensation 269 219
Upfront costs and milestones related to collaborations 185 40
Other, net (20) 1
Changes in operating assets and liabilities:    
Accounts receivable (866) (1,025)
Inventories (187) (107)
Prepaid expenses and other assets (330) 11
Accounts payable and other liabilities 236 1,025
Income tax assets and liabilities, net 191 191
Cash flows from operating activities 4,877 3,815
Cash flows from investing activities    
Acquisitions and investments (198) (12)
Acquisitions of property and equipment (188) (125)
Purchases of investment securities (16) (13)
Sales and maturities of investment securities 11 26
Other, net 49 (5)
Cash flows from investing activities (342) (129)
Cash flows from financing activities    
Dividends paid (2,322) (1,763)
Purchases of treasury stock (787) (643)
Proceeds from the exercise of stock options 71 12
Payments of contingent consideration liabilities (132) (53)
Other, net (4) 25
Cash flows from financing activities (3,174) (2,422)
Effect of exchange rate changes on cash and equivalents (55) (46)
Net change in cash and equivalents 1,306 1,218
Cash and equivalents, beginning of period 8,449 39,924
Cash and equivalents, end of period $ 9,755 $ 41,142