v3.22.4
Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Cash flows from operating activities      
Net earnings $ 11,845 $ 11,549 $ 4,622
Adjustments to reconcile net earnings to net cash from operating activities:      
Depreciation 778 803 666
Amortization of intangible assets 7,689 7,718 5,805
Deferred income taxes (1,931) (898) (2,325)
Change in fair value of contingent consideration liabilities 2,761 2,679 5,753
Stock-based compensation 671 692 753
Acquired IPR&D and milestones 697 1,124 1,376
Other charges related to collaborations 0 500 0
Gain on divestitures (172) (68) 0
Non-cash litigation reserve adjustments, net of cash payments 2,243 163 (31)
Impairment of intangible assets 770 50 0
Other, net (150) (213) 863
Changes in operating assets and liabilities, net of acquisitions:      
Accounts receivable (1,455) (1,321) (929)
Inventories (686) (142) (40)
Prepaid expenses and other assets (264) (197) 134
Accounts payable and other liabilities 1,605 1,628 1,514
Income tax assets and liabilities, net 542 (1,290) (573)
Cash flows from operating activities 24,943 22,777 17,588
Cash flows from investing activities      
Acquisition of businesses, net of cash acquired (255) (525) (38,260)
Other acquisitions and investments (539) (1,377) (1,350)
Acquisitions of property and equipment (695) (787) (798)
Purchases of investment securities (1,438) (119) (61)
Sales and maturities of investment securities 1,530 98 1,525
Other, net 774 366 1,387
Cash flows from investing activities (623) (2,344) (37,557)
Cash flows from financing activities      
Proceeds from issuance of long-term debt 2,000 1,000 3,000
Repayments of long-term debt and finance lease obligations (14,433) (9,414) (5,683)
Debt issuance costs 0 0 (20)
Dividends paid (10,043) (9,261) (7,716)
Purchases of treasury stock (1,487) (934) (978)
Proceeds from the exercise of stock options 262 244 209
Payments of contingent consideration liabilities (1,132) (698) (321)
Other, net 30 24 8
Cash flows from financing activities (24,803) (19,039) (11,501)
Effect of exchange rate changes on cash and equivalents (62) (97) (5)
Net change in cash and equivalents (545) 1,297 (31,475)
Cash and equivalents, beginning of year 9,746 8,449 39,924
Cash and equivalents, end of year 9,201 9,746 8,449
Other supplemental information      
Interest paid, net of portion capitalized 2,546 2,712 2,619
Income taxes paid 2,988 3,648 1,674
Supplemental schedule of non-cash investing and financing activities      
Issuance of common shares associated with acquisitions of businesses $ 0 $ 0 $ 23,979