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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Cash flows from operations      
Net income $ 717 $ 4,965 [1] $ 968
Adjustments to reconcile income from continuing operations to net cash from operating activities:      
Loss (income) from discontinued operations, net of tax 7 1 (575)
Depreciation and amortization 761 800 759
Deferred income taxes 211 (302) (50)
Stock compensation 107 115 126
Realized excess tax benefits from stock issued under employee benefit plans (56) (39) (7)
Net periodic pension benefit and OPEB costs 126 116 227
Business optimization items 70 285 130
Net realized gains on Baxalta common stock   (4,387)  
Infusion pump and other product-related charges (4) (18) (28)
Other 40 264 42
Changes in balance sheet items      
Accounts and other current receivables, net 30 15 (4)
Inventories 76 80 (118)
Accounts payable and accrued liabilities 84 (197) 236
Business optimization payments (143) (164) (89)
Other (229) 90 (364)
Cash flows from operations – continuing operations 1,853 1,624 1,253
Cash flows from operations – discontinued operations (16) 30 518
Cash flows from operations 1,837 1,654 1,771
Cash flows from investing activities      
Capital expenditures (634) (719) (911)
Acquisitions and investments, net of cash acquired (686) (48) (34)
Divestitures and other investing activities 10 37 84
Cash flows from investing activities – continuing operations (1,310) (730) (861)
Cash flows from investing activities – discontinued operations   15 (946)
Cash flows from investing activities (1,310) (715) (1,807)
Cash flows from financing activities      
Issuances of debt 633 1,641 6,868
Payments of obligations (1) (1,381) (3,786)
Debt extinguishment costs   (16) (114)
Decrease in debt with original maturities of three months or less, net   (300) (575)
Transfer of cash and equivalents to Baxalta     (2,122)
Cash dividends on common stock (315) (268) (910)
Proceeds from stock issued under employee benefit plans 347 286 193
Purchases of treasury stock (564) (292)  
Other (39) 6 (35)
Cash flows from financing activities 61 (324) (481)
Effect of foreign exchange rate changes on cash and equivalents 5 (27) (195)
Increase (decrease) in cash and equivalents 593 588 (712)
Cash and equivalents at beginning of year 2,801 2,213 2,925
Cash and equivalents at end of year 3,394 2,801 2,213
Supplemental schedule of non-cash investing and financing activities      
Net proceeds on Retained Shares transactions   4,387  
Payment of obligations in exchange for Retained Shares   3,646  
Exchange of Baxter shares with Retained Shares   611  
Other supplemental information      
Interest paid, net of portion capitalized 80 99 178
Income taxes paid $ 255 $ 500 $ 466
[1] The first quarter of 2016 included benefits of $3.1 billion related to business optimization, separation-related costs, Retained Shares transactions, a loss on debt extinguishment, and product-related items. The second quarter of 2016 included benefits of $1.0 billion related to business optimization, separation-related costs, Retained Shares transactions, and asset impairment. The third quarter of 2016 included charges of $155 million related to business optimization, separation-related costs, a loss on debt extinguishment, and a tax matter. The fourth quarter of 2016 included charges of $47 million related to business optimization, Gambro integration costs, product-related items, separation-related costs, and reserve items and adjustments.