CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Cash Flows From Operating Activities:
Net Earnings	$ 4,320	$ 4,642
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization, net	7,755	8,107
Deferred income taxes	(2,114)	(127)
Stock-based compensation	338	450
Impairment charges	144	1,192
Divestiture gains and royalties	(820)	(462)
Acquired IPRD	763	1,070
Equity investment losses/(income)	966	(1,214)
Contingent consideration fair value adjustments	1	(510)
Other adjustments	178	204
Changes in operating assets and liabilities:
Receivables	(557)	(886)
Inventories	(28)	141
Accounts payable	(296)	19
Rebates and discounts	730	902
Income taxes payable	(310)	(841)
Other	(1,310)	(537)
Net Cash Provided by Operating Activities	9,760	12,150
Cash Flows From Investing Activities:
Sale and maturities of marketable debt securities	5,205	2,952
Purchase of marketable debt securities	(3,566)	(3,408)
Proceeds from sales of equity investment securities	213	1,058
Capital expenditures	(772)	(653)
Divestiture and other proceeds	815	570
Acquisition and other payments, net of cash acquired	(4,170)	(1,458)
Net Cash Used in Investing Activities	(2,275)	(939)
Cash Flows From Financing Activities:
Short-term debt obligations, net	58	(46)
Issuance of long-term debt	5,926	0
Repayment of long-term debt	(11,431)	(6,022)
Repurchase of common stock	(5,585)	(3,536)
Dividends	(3,489)	(3,297)
Other	805	644
Net Cash Used in Financing Activities	(13,716)	(12,257)
Effect of Exchange Rates on Cash, Cash Equivalents and Restricted Cash	(128)	(48)
Decrease in Cash, Cash Equivalents and Restricted Cash	(6,359)	(1,094)
Cash, Cash Equivalents and Restricted Cash at Beginning of Period	14,316	14,973
Cash, Cash Equivalents and Restricted Cash at End of Period	$ 7,957	$ 13,879