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INCOME TAXES - Schedule of Effective Income Tax Rate Reconciliation (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Earnings before income taxes:      
U.S. $ 2,624 $ (140) $ 1,593
Non-U.S. 5,816 7,853 6,505
Earnings Before Income Taxes 8,440 7,713 8,098
Effective Income Tax Rate Reconciliation, Amount      
U.S. statutory rate 1,772 1,620 1,701
GILTI, net of foreign derived intangible income deduction 223 634 645
Foreign tax effect of certain operations in Ireland, Puerto Rico and Switzerland (850) (416) (143)
Non-U.S. tax ruling (656) 0 0
Internal transfers of intangible and other assets 0 (93) (983)
U.S. Federal valuation allowance (171) 58 6
U.S. Federal, state and foreign contingent tax matters 143 (297) 154
U.S. Federal research-based credits (243) (142) (165)
Charitable contributions of inventory (75) (94) (42)
Contingent value rights 0 0 (108)
Puerto Rico excise tax credit 0 (144) (152)
State and local taxes (net of valuation allowance) 92 103 33
Foreign and other 165 139 138
Total Provision for Income Taxes $ 400 $ 1,368 $ 1,084
Effective Income Tax Rate Reconciliation, Percent      
U.S. statutory rate 21.00% 21.00% 21.00%
GILTI, net of foreign derived intangible income deduction 2.60% 8.20% 8.00%
Foreign tax effect of certain operations in Ireland, Puerto Rico and Switzerland (10.10%) (5.40%) (1.80%)
Non-U.S. tax ruling (7.80%) 0.00% 0.00%
Internal transfers of intangible and other assets 0.00% (1.20%) (12.10%)
U.S. Federal valuation allowance (2.00%) 0.80% 0.10%
U.S. Federal, state and foreign contingent tax matters 1.70% (3.90%) 1.90%
U.S. Federal research-based credits (2.90%) (1.80%) (2.00%)
Charitable contributions of inventory (0.90%) (1.20%) (0.50%)
Contingent value rights 0.00% 0.00% (1.30%)
Puerto Rico excise tax credit 0.00% (1.90%) (1.90%)
State and local taxes (net of valuation allowance) 1.10% 1.30% 0.40%
Foreign and other 2.00% 1.80% 1.60%
Total Provision for Income Taxes 4.70% 17.70% 13.40%