CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
Cash Flows From Operating Activities:
Net earnings	$ 4,344	$ 2,712
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization, net	4,861	5,167
Deferred income taxes	(1,634)	(1,469)
Stock-based compensation	259	223
Impairment charges	67	83
Divestiture gains and royalties	(417)	(612)
Acquired IPRD	233	733
Equity investment losses	213	952
Other adjustments	(9)	219
Changes in operating assets and liabilities:
Receivables	(240)	117
Inventories	(298)	(12)
Accounts payable	22	4
Rebates and discounts	(418)	(410)
Income taxes payable	(1,235)	(370)
Other	(891)	(1,264)
Net cash provided by operating activities	4,857	6,073
Cash Flows From Investing Activities:
Sale and maturities of marketable debt securities	327	3,788
Purchase of marketable debt securities	(555)	(3,292)
Proceeds from sales of equity investment securities	67	150
Capital expenditures	(537)	(525)
Divestiture and other proceeds	421	594
Acquisition and other payments, net of cash acquired	(262)	(909)
Net cash used in investing activities	(539)	(194)
Cash Flows From Financing Activities:
Short-term debt obligations, net	243	130
Issuance of long-term debt	0	5,926
Repayment of long-term debt	(1,879)	(8,646)
Repurchase of common stock	(1,155)	(5,000)
Dividends	(2,393)	(2,335)
Stock option proceeds and other, net	(39)	752
Net cash used in financing activities	(5,223)	(9,173)
Effect of exchange rates on cash, cash equivalents and restricted cash	5	(62)
Decrease in cash, cash equivalents and restricted cash	(900)	(3,356)
Cash, cash equivalents and restricted cash at beginning of period	9,325	14,316
Cash, cash equivalents and restricted cash at end of period	$ 8,425	$ 10,960