v3.23.1
Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Statement of Cash Flows [Abstract]    
Net earnings $ 241 $ 4,493
Adjustments to reconcile net earnings to net cash from operating activities:    
Depreciation 179 198
Amortization of intangible assets 1,948 1,855
Deferred income taxes (267) (194)
Change in fair value of contingent consideration liabilities 1,872 (748)
Stock-based compensation 313 306
Acquired IPR&D and milestones 150 145
Impairment of intangible assets 710 0
Other, net (128) 128
Changes in operating assets and liabilities, net of acquisitions:    
Accounts receivable (195) (785)
Inventories (185) (385)
Prepaid expenses and other assets (167) (285)
Accounts payable and other liabilities (465) (258)
Income tax assets and liabilities, net 187 438
Cash flows from operating activities 4,193 4,908
Cash flows from investing activities    
Acquisitions and investments (353) (185)
Acquisitions of property and equipment (175) (162)
Purchases of investment securities (19) (1,406)
Sales and maturities of investment securities 22 8
Other, net 26 154
Cash flows from investing activities (499) (1,591)
Cash flows from financing activities    
Proceeds from issuance of long-term debt 0 2,000
Repayments of long-term debt and finance lease obligations (1,351) (4,879)
Dividends paid (2,661) (2,526)
Purchases of treasury stock (1,955) (1,470)
Proceeds from the exercise of stock options 65 128
Payments of contingent consideration liabilities (311) (246)
Other, net 21 21
Cash flows from financing activities (6,192) (6,972)
Effect of exchange rate changes on cash and equivalents 8 7
Net change in cash and equivalents (2,490) (3,648)
Cash and equivalents, beginning of period 9,201 9,746
Cash and equivalents, end of period $ 6,711 $ 6,098