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INCOME TAXES (Tables)
12 Months Ended
Dec. 31, 2023
Income Tax Disclosure [Abstract]  
Schedule of Provision/(Benefit) for Income Taxes
The provision/(benefit) for income taxes consisted of:
Year Ended December 31,
Dollars in millions202320222021
Current:
U.S.$2,745 $3,017 $1,879 
Non-U.S.943 1,089 598 
Total current3,688 4,106 2,477 
Deferred:
U.S.(2,339)(2,889)(1,255)
Non-U.S.(949)151 (138)
Total deferred(3,288)(2,738)(1,393)
Total Provision for Income Taxes$400 $1,368 $1,084 
Schedule of Effective Income Tax Rate Reconciliation
The reconciliation of the effective tax rate to the U.S. statutory Federal income tax rate was as follows:
% of Earnings Before Income Taxes
Dollars in millions202320222021
Earnings before income taxes:
U.S.$2,624 $(140)$1,593 
Non-U.S.5,816 7,853 6,505 
Total8,440 7,713 8,098 
U.S. statutory rate1,772 21.0 %1,620 21.0 %1,701 21.0 %
GILTI, net of foreign derived intangible income deduction 223 2.6 %634 8.2 %645 8.0 %
Foreign tax effect of certain operations in Ireland, Puerto Rico and Switzerland(850)(10.1)%(416)(5.4)%(143)(1.8)%
Non-U.S. tax ruling
(656)(7.8)%— — %— — %
Internal transfers of intangible and other assets— — %(93)(1.2)%(983)(12.1)%
U.S. Federal valuation allowance
(171)(2.0)%58 0.8 %0.1 %
U.S. Federal, state and foreign contingent tax matters143 1.7 %(297)(3.9)%154 1.9 %
U.S. Federal research-based credits(243)(2.9)%(142)(1.8)%(165)(2.0)%
Charitable contributions of inventory(75)(0.9)%(94)(1.2)%(42)(0.5)%
Contingent value rights — — %— — %(108)(1.3)%
Puerto Rico excise tax credit— — %(144)(1.9)%(152)(1.9)%
State and local taxes (net of valuation allowance)92 1.1 %103 1.3 %33 0.4 %
Foreign and other165 2.0 %139 1.8 %138 1.6 %
Total Provision for Income Taxes$400 4.7 %$1,368 17.7 %$1,084 13.4 %
Schedule of Deferred Income Tax Assets/(Liabilities)
The components of deferred income tax assets/(liabilities) were as follows:
 December 31,
Dollars in millions20232022
Deferred tax assets
Foreign net operating loss and other carryforwards$2,017 $566 
State net operating loss and credit carryforwards349 329 
U.S. Federal capital loss, net operating loss and tax credit
249 236 
Milestone payments and license fees918 1,030 
Capitalized research expenditures2,682 1,573 
Other1,883 1,284 
Total deferred tax assets8,098 5,018 
Valuation allowance(764)(873)
Deferred tax assets net of valuation allowance$7,334 $4,145 
Deferred tax liabilities
Acquired intangible assets$(4,052)$(4,362)
Goodwill and other(852)(605)
Total deferred tax liabilities$(4,904)$(4,967)
Deferred tax assets/(liabilities), net
$2,430 $(822)
Recognized as:
Deferred income taxes assets – non-current$2,768 $1,344 
Deferred income taxes liabilities – non-current(338)(2,166)
Total$2,430 $(822)
Changes in the Valuation Allowance
Changes in the valuation allowance were as follows:
 Year Ended December 31,
Dollars in millions202320222021
Balance at beginning of year$873 $1,056 $2,809 
Provision(39)213 201 
Utilization(54)(68)(1,087)
Foreign currency translation(19)(59)(157)
Acquisitions/(dispositions)/(liquidations), net— (271)(720)
Non-U.S. rate change
10 
Balance at end of year$764 $873 $1,056 
Reconciliation of Gross Unrecognized Tax Benefits
A reconciliation of the beginning and ending amount of gross unrecognized tax benefits is as follows (excluding interest and penalties):
 Year Ended December 31,
Dollars in millions202320222021
Balance at beginning of year$1,766 $2,042 $2,003 
Gross additions to tax positions related to current year38 53 66 
Gross additions to tax positions related to prior years145 137 75 
Gross additions to tax positions assumed in acquisitions— 15 — 
Gross reductions to tax positions related to prior years(5)(381)(22)
Settlements(30)(8)(70)
Reductions to tax positions related to lapse of statute(4)(83)(5)
Cumulative translation adjustment(9)(5)
Balance at end of year$1,914 $1,766 $2,042 
Summary of Income Tax Examinations
Additional information regarding unrecognized tax benefits is as follows:
 Year Ended December 31,
Dollars in millions202320222021
Unrecognized tax benefits that if recognized would impact the effective tax rate$1,872 $1,736 $1,957 
Accrued interest434 332 424 
Accrued penalties23 25 26 
Interest and penalties expense/(benefit)110 (87)66 
The following is a summary of major tax jurisdictions for which tax authorities may assert additional taxes based upon tax years currently under audit and subsequent years that will likely be audited:
U.S.
2008 to 2012, 2016 to 2023
Canada
2012 to 2023
France
2020 to 2023
Germany
2015 to 2023
Italy
2019 to 2023
Japan
2018 to 2023
UK
2012 to 2023