CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Cash Flows From Operating Activities:
Net earnings	$ 6,278	$ 4,320
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization, net	7,296	7,755
Deferred income taxes	(1,961)	(2,114)
Stock-based compensation	391	338
Impairment charges	226	144
Divestiture gains and royalties	(639)	(820)
Acquired IPRD	313	763
Equity investment losses	213	966
Other adjustments	260	179
Changes in operating assets and liabilities:
Receivables	(487)	(557)
Inventories	(554)	(28)
Accounts payable	(246)	(296)
Rebates and discounts	1,115	730
Income taxes payable	(1,647)	(310)
Other	(950)	(1,310)
Net cash provided by operating activities	9,608	9,760
Cash Flows From Investing Activities:
Sale and maturities of marketable debt securities	692	5,205
Purchase of marketable debt securities	(1,057)	(3,566)
Proceeds from sales of equity investments	215	213
Capital expenditures	(879)	(772)
Divestiture and other proceeds	668	815
Acquisition and other payments, net of cash acquired	(588)	(4,170)
Net cash used in investing activities	(949)	(2,275)
Cash Flows From Financing Activities:
Short-term debt obligations, net	233	58
Issuance of long-term debt	0	5,926
Repayment of long-term debt	(1,879)	(11,431)
Repurchase of common stock	(5,155)	(5,585)
Dividends	(3,584)	(3,489)
Stock option proceeds and other, net	2	805
Net cash used in financing activities	(10,383)	(13,716)
Effect of exchange rates on cash, cash equivalents and restricted cash	(33)	(128)
Decrease in cash, cash equivalents and restricted cash	(1,757)	(6,359)
Cash, cash equivalents and restricted cash at beginning of period	9,325	14,316
Cash, cash equivalents and restricted cash at end of period	$ 7,568	$ 7,957