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Consolidated Statements of Cash Flows (USD $)
In Millions, unless otherwise specified
12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Cash flows from operations      
Net income $ 2,012 $ 2,326 $ 2,256
Adjustments      
Depreciation and amortization 823 712 670
Deferred income taxes (224) (17) 172
Stock compensation 150 130 119
Realized excess tax benefits from stock issued under employee benefit plans (34) (24) (21)
Business optimization charges 282 150 192
Asset impairment and other charges     182
Net periodic pension benefit and OPEB costs 381 477 255
Other 54 (42) 32
Changes in balance sheet items      
Accounts and other current receivables, net (36) (41) (229)
Inventories (311) (129) (315)
Accounts payable and accrued liabilities 329 18 98
Business optimization and infusion pump payments (125) (283) (347)
Other (103) (171) (247)
Cash flows from operations 3,198 3,106 2,817
Cash Flows from Investing Activities      
Capital expenditures (including additions to the pool of equipment placed with or leased to customers of $148 in 2013, $150 in 2012 and $155 in 2011) (1,525) (1,161) (960)
Acquisitions and investments, net of cash acquired (3,851) (515) (590)
Divestitures and other investing activities 14 107 123
Cash flows from investing activities (5,362) (1,569) (1,427)
Cash flows from financing activities      
Issuances of debt 3,636 1,037 506
Payments of obligations (540) (22) (23)
(Decrease) increase in debt with original maturities of three months or less, net   (250) 250
Cash dividends on common stock (1,023) (804) (709)
Proceeds and realized excess tax benefits from stock issued under employee benefit plans 508 512 448
Purchases of treasury stock (913) (1,480) (1,583)
Other (23) (108) (26)
Cash flows from financing activities 1,645 (1,115) (1,137)
Effect of Foreign Exchange Rate Changes on Cash and Equivalents (18) (57) (33)
(Decrease) Increase in Cash and Equivalents (537) 365 220
Cash and Equivalents at Beginning of Year 3,270 2,905 2,685
Cash and Equivalents at End of Year 2,733 3,270 2,905
Other supplemental information      
Interest paid, net of portion capitalized 200 135 88
Income taxes paid $ 648 $ 415 $ 357