v3.22.4
Income Taxes (Tables)
12 Months Ended
Dec. 31, 2022
Income Tax Disclosure [Abstract]  
Schedule of earnings before income tax expense Earnings Before Income Tax Expense
years ended December 31 (in millions)202220212020
Domestic$(4,608)$(1,644)$(4,467)
Foreign18,085 14,633 7,865 
Total earnings before income tax expense$13,477 $12,989 $3,398 
Schedule of income tax expense Income Tax Expense
years ended December 31 (in millions)202220212020
Current
Domestic$2,647 $1,987 $907 
Foreign916 351 194 
Total current taxes$3,563 $2,338 $1,101 
Deferred
Domestic$(1,512)$(839)$(58)
Foreign(419)(59)(2,267)
Total deferred taxes$(1,931)$(898)$(2,325)
Total income tax expense (benefit)$1,632 $1,440 $(1,224)
Summary of effective tax rate reconciliation Effective Tax Rate Reconciliation
years ended December 31202220212020
Statutory tax rate21.0 %21.0 %21.0 %
Effect of foreign operations(4.4)(5.4)2.4 
U.S. tax credits(2.8)(2.8)(10.6)
Impacts related to U.S. tax reform— — (1.1)
Non-deductible expenses0.6 0.3 7.2 
Tax law changes and related restructuring(2.4)(2.0)(48.5)
Tax audits and settlements0.9 (0.4)(5.1)
All other, net(0.8)0.4 (1.3)
Effective tax rate12.1 %11.1 %(36.0)%
Schedule of deferred tax assets and liabilities Deferred Tax Assets and Liabilities
as of December 31 (in millions)20222021
Deferred tax assets
Compensation and employee benefits$497 $937 
Accruals and reserves1,023 667 
Chargebacks and rebates991 837 
Advance payments547 809 
Net operating losses and other carryforwards10,391 10,095 
Other1,710 1,234 
Total deferred tax assets15,159 14,579 
Valuation allowances(9,627)(9,391)
Total net deferred tax assets5,532 5,188 
Deferred tax liabilities
Excess of book basis over tax basis of intangible assets(3,590)(4,711)
Excess of book basis over tax basis in investments(340)(308)
Other(772)(904)
Total deferred tax liabilities(4,702)(5,923)
Net deferred tax assets (liabilities)$830 $(735)
Schedule of unrecognized tax benefits Unrecognized Tax Benefits
years ended December 31 (in millions)202220212020
Beginning balance$5,489 $5,264 $2,661 
Increase due to acquisition— — 2,674 
Increase due to current year tax positions88 208 91 
Increase due to prior year tax positions243 137 59 
Decrease due to prior year tax positions(33)(62)(7)
Settlements(7)(24)(141)
Lapse of statutes of limitations(110)(34)(73)
Ending balance$5,670 $5,489 $5,264